AHRQ Innovations Exchange | Clinics Adopting Plan-Supported Medical Home Model Enhance Access, Improve Quality, and Reduce Admissions Among Medicaid Managed Care Enrollees

Clinics Adopting Plan-Supported Medical Home Model Enhance Access, Improve Quality, and Reduce Admissions Among Medicaid Managed Care Enrollees

Snapshot
SummaryA Medicaid managed care plan works with primary care practices to implement a "medical home" model. Known as the Primary Care Renewal project, this program provides additional reimbursement and other support designed to encourage practices to provide multidisciplinary, coordinated, comprehensive care to patients. Participating practices agree to implement team-based and customer-driven care, barrier-free access, proactive panel health improvement, and integrated behavioral health. Early evidence suggests that the program has helped participating sites enhance access to care, improve performance on process and outcomes measures, and reduce inpatient admissions for ambulatory care–sensitive conditions.


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AHRQ Innovations Exchange | Clinics Adopting Plan-Supported Medical Home Model Enhance Access, Improve Quality, and Reduce Admissions Among Medicaid Managed Care Enrollees