Client(s): California Primary Care Association
Services: Training & Technical Assistance, Health Systems Transformation, Policy Development & Implementation
Technical Expertise: Health Care Reform
Forseeing the inextricable link between delivery system transformation and payment reform, the California Primary Care Association (CPCA), representing more than 800 Community Clinics and Health Centers, engaged JSI to conduct national and statewide research regarding innovations in payment reform models that both catalyze and support a transformed delivery system.
JSI's January 2012 report Building a Foundation for Payment Reform for Community Health Centers in California generated much interest among CPCA members as well as the need for local discussions about how various payment reform models might work in California health centers.
Funded by the Tides Community Clinics Initiative, JSI and CPCA have engaged in a Statewide "Payment Reform Roadshow" for community health center regional associations and foundation partners across California. JSI's activities have included:
- presenting potential payment reform models, including advantages and disadvantages
- facilitating local discussions to identify barriers and assess interest in models
- refining conceptual and process-related principles of payment reform
- facilitating work groups dedicated to working through the necessary steps to pilot payment reform models - including a capitated equivalent to the prospective payment system (PPS) rate and supplemental payment for patient-centered health home - within a safe environment
As a result of this stakeholder education and feedback process, CPCA is engaging with State and other stakeholders, such as the California Association of Public Hospitals, in designing potential pilots of payment reform models for community health centers.