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.
This review is an initial exploration of team development within effective integrated primary and behavioral healthcare teams. Six integrated teams in safety net primary care settings were interviewed on the development of the clinical team.
This brief from JSI and the Delta Center for a Thriving Safety Net illustrates five key insights related to program design and evaluation from the productive partnership between the Partnership HealthPlan of California and local community health centers to create a care coordination (CCM) program.
This case study report provides an in-depth look at the workforce configuration of Cherokee Health Systems, a Federally Qualified Health Center and a Community Mental Health Center with a mission to “improve the quality of life for [their] patients through the blending of primary care, behavioral health and prevention services.”
The Excellence in Mental Health and Addiction Act, one of the most significant developments in behavioral health funding in decades, was designed to increase Americans’ access to community mental health and substance use treatment services via the creation of Certified Community Behavioral Health Centers (CCBHCs) in 8 states, while improving Medicaid reimbursement for these services.
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.
This case study examines the experience of Southern Prairie, a 12-county collaboration in rural southwestern Minnesota that has facilitated the integration of health care services and community supports through accountable care approaches, which includes a Medicaid accountable care organization (ACO) and a nonprofit center that implements initiatives to address major population health issues.