Update on Payment Reform Trends: Implications for California Community Health Centers

Dates: 2012-2013

State: California

Client(s): California Family Health Council

Services: Health Care & Public Health Planning, Health Systems Transformation, Policy Development & Implementation

Technical Expertise: Health Care Reform

Payment reform is a critical ingredient for catalyzing and sustaining a transformed delivery system - a system that can realize the IHI’s Triple Aim goals of better health, better care, and reduced per capita costs. The field of payment reform and delivery system transformation in the safety net is evolving rapidly as health centers, health system stakeholders, researchers, and policymakers design, pilot, and implement new payment systems and innovative care models.

The Regional Associations of California (RAC), in collaboration with the California Primary Care Association (CPCA), strives to ensure that California’s 934 health centers’ state-level and local efforts in payment reform and delivery system transformation are informed by the most up-to-date information. In September 2012, RAC engaged JSI to conduct a Payment Reform Research Update that included: a literature scan of key publications released over the recent 18 months on payment reform and delivery system transformation; interviews with 18 national experts and representatives from cutting-edge efforts in Medicaid payment reform in other states; and identification by RAC leaders of key questions regarding payment reform efforts.

In January 2013, JSI composed a report titled Update on Payment Reform Trends: Implications for California Community Health Centers, which includes:

  • Key messages for CCHC leaders as they engage in payment delivery system reform efforts;
  • A summary of current and emerging trends with a focus on how they apply to FQHCs and the safety-net; and
  • 5 case studies that highlight national trends with specific examples from innovative efforts in Minnesota, Hawaii, Massachusetts, and Colorado.


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