Initiative Features Fixed Monthly Payments to Primary Care Clinics for Providing Depression Care Bundle, Allowing Many Patients to Achieve Good Outcomes
A collaborative initiative features standardized care elements and fixed per-patient payments for treatment of depression in the primary care setting, leading to high rates of remission and response to treatment and high levels of provider satisfaction.
Statewide Measurement and Reporting System Stimulates Quality Improvement in Targeted Clinical Areas, Becomes Standard for Local and National Pay-for-Performance Programs
A statewide measurement and reporting system serves as a single, comprehensive, credible source of information on provider performance, leading to significant improvements in performance over time and to adoption and use of the system by local and national payers and other organizations.
Integrating Behavioral Health and Nutrition Services Into Primary Care Clinics Significantly Reduces Mental Health–Related Hospitalizations for Staff-Model Health Maintenance Organization
A health maintenance organization integrated mental and behavioral health care and nutrition services with primary care delivery, leading to a more than 50-percent reduction in mental health–related hospitalizations.
Mailed Reminders to Heart Attack Patients Improve Compliance With Beta Blocker Medication Regimen
Four health maintenance organizations send two reminder letters to encourage recent heart attack patients to take their beta blocker medication as prescribed and to renew their prescriptions as needed.
Statewide Health Information Exchange Provides Daily Alerts About Emergency Department and Inpatient Visits, Helping Health Plans and Accountable Care Organizations Reduce Utilization and Costs
A statewide health information exchange provides health plans and accountable care organizations with daily alerts on patients visiting the emergency department or being admitted to an inpatient facility, allowing them to take steps to curb use of these high-cost venues and replace them with lower-cost primary care visits.
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Designing and Implementing Medicaid Care Management Programs: A User’s Guide
The Medicaid Care Management Guide helps States design, implement, and evaluate care management programs for the chronically ill.
Theory and Reality of Value-Based Purchasing: Lessons from the Pioneers
This report summary provides early lessons on the scope, patterns, barriers, and possibilities of value-based purchasing.
Evaluating the Impact of Value-Based Purchasing: A Guide for Purchasers
This guide was developed to be an evaluation tool for purchasers, particularly employers, in assessing their value-based purchasing (VBP) activities.
Medicare Prescription Drug Plan Finder
This tool will help Medicare beneficiaries learn more about the new Medicare prescription drug coverage and enable them to find and compare prescription drug plans that meet their personal needs.
Improving Outcomes for Children in Child Welfare: A Medicaid Managed Care Toolkit
This toolkit, developed by the Center for Health Care Strategies (CHCS), can help guide efforts to improve care for children in the child welfare system.