Building community-oriented Medicaid managed care: charting a path toward reform
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Policy issue brief (Geiger Gibson/RCHN Community Health Foundation Research Collaborative)
- Author(s):
- Rosenbaum, Sara, author Murphy, Caitlin, author Handley, Morgan, author Morris, Rebecca, author Shin, Peter, author
- Contributor(s):
- Episcopal Health Foundation, issuing body. Geiger Gibson/RCHN Community Health Foundation Research Collaborative, issuing body. Geiger Gibson Program in Community Health Policy, issuing body. George Washington University, issuing body. Milken Institute School of Public Health, issuing body.
- Publication:
- [Washington, D.C.] : Milken Institute School of Public Health, George Washington University, May 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Community Health Services Managed Care Programs Medicaid Health Care Reform United States
- Genre(s):
- Technical Report
- Abstract:
- The health of a community helps determine the health of its residents, and for this reason, community-wide health improvement efforts have assumed prominence. History has shown that comprehensive, community-based primary health care not only offers a major entry point into better health, but also offers a key launch point for broader community health improvement efforts. As Medicaid managed care has become the dominant means of delivering health care in medically underserved communities, and as comprehensive primary care has emerged as the basic building block of an effective managed care strategy, leaders in health care and managed care have joined forces to support reforms that utilize managed care systems--working in partnership with primary care network providers and communities themselves--as a major tool for improving community health. As state policymakers consider how to integrate community health improvement into Medicaid managed care, the Episcopal Health Foundation’s Texas Community Centered Health Homes (CCHH) initiative offers valuable lessons. The initiative has proven successful in integrating community health improvement into primary care. Federal managed care flexibilities enable Texas to incorporate the factors that have made the CCHH model a success into a sustainable, statewide community-oriented managed care strategy. Among the most salient factors that emerge from CCHH are deep community roots, primary care leadership, partnership across health and health care sectors, and startup investments that enable primary care providers, working with their partners, to develop and support community health improvement strategies that respond to community need. By incorporating the lessons from CCHH into managed care policy and practice, the state has the opportunity to strengthen managed care while bringing real change to its most vulnerable communities.
- 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 (18 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918366987206676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918366987206676