Putting primary care first: factors influencing state Medicaid agency participation in federal primary care models
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Issue brief (Milbank Memorial Fund)
- Author(s):
- Howe, Greg, author Smithey, Anne, author Houston, Rob, author
- Contributor(s):
- Milbank Memorial Fund, issuing body.
- Publication:
- New York, NY : Milbank Memorial Fund, May 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Federal Government Medicaid Primary Health Care State Government United States
- Genre(s):
- Technical Report
- Abstract:
- The Centers for Medicare and Medicaid Services has recognized the importance of investing in primary care and has launched three models designed to strengthen it: Comprehensive Primary Care, Comprehensive Primary Care Plus (CPC+), and Primary Care First. All three models are designed to align multiple payers with Medicare. As the first or second largest payer in most markets and driver of a state's health policy priorities, Medicaid can be a very influential participant. To gain insights into state Medicaid agencies' decision-making around participating in these federal models, the Center for Health Care Strategies interviewed Medicaid leadership from nine states that considered participating in these models. These states included three Medicaid agencies that participated in CPC+, four agencies that had participating regions but did not join as a payer, and two agencies that opted to move forward with their own primary care models rather than participate in CPC+. State interviewees reflected on the value of stakeholder support, the importance of the primary care model aligning with existing state programs and goals related to advancing primary care, the need for financial and staffing investments to support the program, and challenges related to collecting, sharing, and using data. These insights informed key considerations and opportunities that could help shape future federal programs.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (11 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918350586406676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918350586406676