Health Care Reform

The health care system in the United States is changing as states and the nation continue to implement the Affordable Care Act while planning for its potential repeal and replacement. JSI has been instrumental in health-reform and service delivery redesign initiatives on the national, state, and local levels, and is helping programs and providers at community health centers and rural clinics to respond to and help shape the continually evolving policy environment. JSI’s technical assistance includes:
  • Analysis of the impact of health care reform on federal programs;
  • Guidance to states and provider groups in assessing value-based purchasing strategies and implementing payment reforms;
  • Facilitation of emerging partnerships;
  • Research and evaluation related to health insurance coverage;
  • Strategic planning and implementation of ways to strengthen health care integration and delivery of primary care and mental health services, including accountable care organizations, patient-centered medical homes, and behavioral health integration in health care centers and health centers.


PAYMENT REFORM

Payment reform is both a prerequisite for, and a core element of, a transformed delivery system that achieves improved patient experience, improved population health, and reduced costs to the overall health system.

For more than 15 years, JSI has been researching payment reform and delivery system transformation and their applications to the safety-net. JSI has worked closely in multiple states with a variety of safety-net organizations, including health centers, and public hospitals that are designing and implementing innovative approaches to payment and delivery system reform. JSI experience and expertise includes:
  • Conducting research on payment models, including assessing feasibility of payment models and their relationship to care transformation in the safety net
  • Identifying opportunities for safety-net providers to actively participate in reforms
  • Facilitating policy discussions with stakeholder groups around payment reform
  • Facilitating workgroups through pilot and implementation stages of payment reforms
  • Providing strategic consulting support to foundations, primary care associations and health centers regarding advancing payment reform
Read our health care reform-related blogs from our experts.

Highlights

PROJECT
View details: Ryan White HIV/AIDS Program (RWHAP) Outcomes within the Context of the Affordable Care Act (ACA)

Ryan White HIV/AIDS Program (RWHAP) Outcomes within the Context of the Affordable Care Act (ACA)

JSI's most recent work with the RWHAP program will be to evaluate the impact of coverage obtained through the Affordable Care Act and RWHAP service use post-ACA on client health outcomes.

PROJECT
View details: Development and Implementation of the Central New York Care Collaborative (CNYCC) – A New York State DSRIP Performing Provider System (PPS)

Development and Implementation of the Central New York Care Collaborative (CNYCC) – A New York State DSRIP Performing Provider System (PPS)

From a groundbreaking waiver allowing NY to reinvest billions in federal savings, JSI will support the Central NY Care Collaborative in implementing the waiver dollars - addressing critical issues throughout the state and encouraging comprehensive reform.

PROJECT
View details: Ryan White Affordable Care Enrollment (ACE) Technical Assistance (TA) Center

Ryan White Affordable Care Enrollment (ACE) Technical Assistance (TA) Center

Learn how the ACE TA Center helps Ryan White HIV/AIDS Program (RWHAP) grantees and providers enroll diverse clients, especially people of color, in health coverage.

PROJECT
View details: Studying the Feasibility of Whole-Person Care in California’s Safety Net

Studying the Feasibility of Whole-Person Care in California’s Safety Net

JSI examined the opportunities/challenges of increased coordination between the delivery of health, behavioral health, substance abuse, and social services to provide “whole-person care” while addressing the population’s health and socioeconomic needs.

PROJECT
View details: Studying Coverage and Access for Uninsured & Newly Insured Latinos in Massachusetts

Studying Coverage and Access for Uninsured & Newly Insured Latinos in Massachusetts

The study will identify specific needs of high-risk groups within the Hispanic population and will inform outreach and enrollment strategies by examining local health centers and community-based organizations best practices.

PROJECT
View details: Learning from Safety-Net Accountable Care Organizations

Learning from Safety-Net Accountable Care Organizations

JSI and partners are conducting case studies on four emerging ACOs serving safety-net populations in MA, MN, CA, to generate relevant information for those interested in improving care for vulnerable populations and reducing health disparities.

PROJECT
View details: Studying the Value of Community Clinics and Health Centers for the California Primary Care Association

Studying the Value of Community Clinics and Health Centers for the California Primary Care Association

CPCA sought to determine whether FQHC had an impact on the total costs to the health care system and whether they were helping reach the Triple Aim goals. JSI study highlights the true value of FQHC to both their patients and the overall health system.

PROJECT
View details: Estimating the Impact of the Expansion of Health Insurance Coverage on Primary Care Practitioner Shortage Through 2020

Estimating the Impact of the Expansion of Health Insurance Coverage on Primary Care Practitioner Shortage Through 2020

JSI developed a nationwide community-level estimate of the impact that expanding health insurance coverage has on the demand for primary care services and provider workforce adequacy from ACA implementation in 2014 through the year 2020.

PROJECT
View details: Improving Effectiveness of Programs Serving Children with Special Health Needs

Improving Effectiveness of Programs Serving Children with Special Health Needs

JSI is working to strengthen states’ capacity to monitor and improve child health program outcomes for the HRSA Division of Services for Children with Special Health Care Needs by institutionalizing continuous quality improvement initiatives.

PROJECT
View details: Key Informant Interviews on Early Medicaid Expansion Experience

Key Informant Interviews on Early Medicaid Expansion Experience

On April 2012, the state of Colorado expanded Medicaid to include adults without dependent children with incomes at or below 10% of the Federal Poverty Level. JSI conducted interviews to capture the lessons learned from this expansion.

PROJECT
View details: Reducing Medicaid Readmission among Safety Net Hospitals

Reducing Medicaid Readmission among Safety Net Hospitals

Safety net hospitals, which serve the nation's most vulnerable populations, have high rates of avoidable Medicaid readmissions. To reduce costs and improve care, JSI will adapt and test current best practices for improving care transitions.

PROJECT
View details: Colorado Center on Law and Policy Health Insurance Exchange Consumer Focus Groups

Colorado Center on Law and Policy Health Insurance Exchange Consumer Focus Groups

To ensure that the Colorado Health Benefit Exchange increases access to affordable, high quality health insurance, JSI conducted focus groups to gather consumer perceptions, wants, and needs to guide design and implementation of the Exchange.

PROJECT
View details: Developing a Value-Based Purchasing Methodology for FQHCs/RHCs Consistent with Payment Reform

Developing a Value-Based Purchasing Methodology for FQHCs/RHCs Consistent with Payment Reform

JSI is helping the Colorado Department of Health Care Policy and Financing develop a payment methodology for federally qualified health centers and rural health clinics, with the goal of improving health outcomes while containing costs.

PROJECT
View details: Patient-Centered Medical Home and Chronic Care Model

Patient-Centered Medical Home and Chronic Care Model

JSI helped Potomac Street Health Center, a clinic serving older adults facing barriers to health care, develop a patient-centered medical home model of care to ensure these patients’ needs were met.

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