PROGRAM AT A GLANCE. KEY FEATURE. A large federally qualified health center (FQHC) operating 14 clinics across rural South Carolina relies on community health workers and local partnerships to help patients needing social support, coaching, and case management. TARGET POPULATION. Most of the health center's patients live at or below the poverty level; nearly half have hypertension, and one-quarter have diabetes. WHY IT'S IMPORTANT. The health center has joined with other FQHCs to pursue value-based payment and uses incentives earned from Medicaid managed care companies to finance support services. BENEFITS. In recent years, the health center has improved its performance on measures such as tobacco use screening and counseling, adult body mass index screening and counseling, breast cancer screening, and adolescent well visits. It also has reduced spending on emergency department visits and hospitalizations. CHALLENGES. Like many primary care practices, CareSouth struggles to engage adolescents, men, and those who lack reliable transportation or sufficient time or money to access care.
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