This brief summarizes key challenges faced by the rural ambulatory safety net in delivering primary care and behavioral health services since COVID-19 and the policy changes that have been implemented in response to those challenges. It also offers state-level policy recommendations to improve rural-specific primary care and behavioral health care through sustaining and supporting the movement towards telehealth, addressing social needs, and advancing value-based payment and care.
The report details existing value-based payment models for behavioral health services and where they are being adopted, and highlights lessons learned and recommendations for state and federal policymakers.
Health centers are strongly positioned to achieve the Triple Aim – improved patient experience and population health, with reduced total health system costs per capita – within low-income and underserved populations nationwide.
This white paper from the Health Care Payment Learning & Action Network (HCP-LAN) updates its framework for accelerating the transition in the health care system from a fee for service payment model to one that pays providers for quality care, improved health, and lower costs and its application to primary care teams.
Advancing payment and delivery reform in the ambulatory safety net in rural areas presents unique challenges and will require solutions specific to this context, for both primary care and behavioral health.
Drawing from our work with 12 primary care associations through the Delta Center, this brief outlines three key policy steps to help health centers survive in the short term and thrive beyond the COVID-19 crisis.