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.
To provide the best possible care to patients and thrive in new payment environments, community health centers (CHCs) and community behavioral health organizations (CBHOs)— two pillars of the safety net—are redesigning their workflows, infrastructure, and partnerships.
As the first and only health center-led Medicare Accountable Care Organizations (ACOs) in California, and one of a growing number of provider-led safety-net ACOs nationwide, Redwood Community Care Organization (RCCO) is an example of an early foray into accountable care in the safety net.
This case study examines the participation of Northpoint Health and Wellness Center in the Hennepin Health ACO. Northpoint is a prominent example of a health center collaborating with key stakeholders to form a social ACO.
This case study profiles the Community Health Center Network (CHCN), a health-center-led managed care organization (MCO), through the perspective of two of the smaller health centers in the group (Axis Community Health and Tiburcio Vasquez Health Center).
This case study examines how the Community Health Network of Washington (CHNW), an alliance of 19 health centers across Washington State, formed and operates the Community Health Plan of Washington (CHPW), one of the first health-center governed health plans in the country.