Care Delivery Reform Resources

Health Is Primary: Charting a Path to Equity and Sustainability

October 2023

Relationships Matter: How Usual is Usual Source of (Primary) Care?

November 2022

Oral Health, Mental Health and Substance Use Treatment: A Framework for Increased Coordination and Integration

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May 2022

Primary Care and COVID-19: It’s Complicated—Leveraging Primary Care, Public Health, and Social Assets

October 2021

Primary Care 2.0: A Prospective Evaluation of a Novel Model of Advanced Team Care With Expanded Medical Assistant Support

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September 2021

Tackling America’s Mental Health and Addiction Crisis Through Primary Care Integration

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March 2021

Innovations in Oral Health and Primary Care Integration

March 2021

Primary Care Spending: High Stakes, Low Investment

December 2020

Care Practices to Promote Patient Engagement in VA Primary Care: Factors Associated With High Performance

Care Practices to Promote Patient Engagement in VA Primary Care: Factors Associated With High Performance
October 2020

Innovacer COVID-19 Management System

Innovaccer COVID-19 Management System
April 2020

Geisinger COVID-19 Chatbox

Geisinger Health Plan
April 2020

Investing in Primary Care: A State-Level Analysis

July 2019

ACOG Committee Opinion

Well-Woman Visit
October 2018

Impact of a Medical Home Model on Costs and Utilization Among Comorbid HIV-Positive Medicaid Patients

American Journal of Managed Care
August 2018

Advanced Primary Care: A Key Contributor to Successful ACOs

August 2018

PCPCC Convening Report

August 2018

Comparing Calorie Counting versus MyPlate Recommendations for Weight Loss

Comparing Calorie Counting versus MyPlate Recommendations for Weight Loss
July 2018

Medicare Program Shared Savings Accountable Care Organizations Have Shown Potential for Reducing Spending And Improving Quality

HHS Office of the Inspector General
August 2017

The Impact of Primary Care Practice Transformation on Cost, Quality, and Utilization

Patient-Centered Primary Care Collaborative
July 2017

Does Daily Self-Monitoring of Blood Sugar Levels Improve Blood Sugar Control and Quality of Life for Patients with Type 2 Diabetes Who Do Not Use Insulin? -- The Monitor Trial

Glucose Self-monitoring in Non–Insulin-Treated Patients With Type 2 Diabetes in Primary Care Settings
June 2017

Practical, Proven, and Scalable Approaches to Advancing Primary Care Delivery

United Healthgroup
June 2017

Behavioral Health Integration in Pediatric Primary Care

Milbank Memorial Fund
March 2017

Experiences of Consumers with Managed Long-Term Services and Supports Programs

Community Catalyst
March 2017

Tool to Compare Proposals to Replace The Affordable Care Act

Kaiser Family Foundation
February 2017

Patient-Centered Medical Homes and the Care of Older Adults

PCMH Roadmap
October 2016

Toolkit on Incorporating Clinical Pharmacists in the Patient Centered Medical Home

COPrevent
September 2016

Improving Population Health by Working with Communities: Action Guide 3.0

National Quality Forum
August 2016

Comparison of CPC+ and Medicare ACOs

NAACOS
August 2016

AHRQ Playbook

AHRQ
July 2016

ACOs at a Crossroads

NAACOS
June 2016

Patient Self-Management Support of Chronic Conditions

Agency for Healthcare and Research Quality
June 2016

Substance Use Trainings

SAMHSA-HRSA Center for Integrated Health Solutions
June 2016

Investing in Social Services for States' Health: Identifying and Overcoming Barriers

Milbank Memorial Fund
May 2016

Payment Methods and Benefit Designs: How They Work and How They Work Together to Improve Health Care

Urban Institute & Catalyst for Payment Reform
May 2016

EVOLVING MODELS OF BEHAVIORAL HEALTH INTEGRATION: EVIDENCE UPDATE 2010-2015

Milbank Memorial Fund
May 2016

Medicare’s Vision for Advanced Primary Care

JAMA
April 2016

Making Care Coordination “Work” in Your Program or Community

American Academy of Pediatrics
March 2016

Payment and Delivery System Reform in Medicare

Kaiser Family Foundation
February 2016

The Patient-Centered Medical Home's Impact on Cost and Quality: Annual Review of Evidence, 2014-2015

Patient-Centered Primary Care Collaborative
February 2016

Recommendations to the IHS from the Rural Maternal Safety Meeting

Recommendations to the IHS from the Rural Maternal Safety Meeting
January 2016

Collaboration in Practice

Team-Based Care Report
January 2016

Integrating Community Health Workers into Care Teams

The Commonwealth Fund
December 2015

CPC 2015 mid-year snapshot

Centers for Medicare and Medicaid Services
December 2015

Primary Care Physicians In Ten Countries Report Challenges Caring For Patients With Complex Health Needs

Health Affairs
December 2015

Maryland's Global Hospital Budgets — Preliminary Results from an All-Payer Model

New England Journal of Medicine
November 2015

Assessing the Patient Care Implications of “Concierge” and Other Direct Patient Contracting Practices: A Policy Position Paper From the American College of Physicians

Annals of Internal Medicine
November 2015

Solutions for Filling Gaps in Accountable Care Measure Sets

American Journal of Managed Care
October 2015

Alternative Payment Models (APMs) and the Merit-Based Incentive Payment System (MIPS) Slide Deck

MedPac
October 2015

Understanding Care Integration from the Ground Up: Five Organizing Constructs that Shape Integrated Practices

Journal of the American Board of Family Medicine
September 2015

The Rise and Future of Medicaid ACOs

Leavitt Partners
September 2015
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