Leveraging Medicaid in a Multi-Payer Medical Home Program: Spotlight on Rhode Island's Chronic Care Sustainability Initiative
Program Overview
Regional Quality Improvement Initiative, Center for Health Care Strategies. Available at http://www.chcs.org/info-url_nocat3961/info-url_nocat_show.htm?doc_id=377021
Case Study: Rhode Island Pilots Innovative, Cross-Payer Patient-Centered Medical Home Model, Center for Health Care Strategies, July 2009. Available at http://www.chcs.org/publications3960/publications_show.htm?doc_id=985380
Ibid.
Quarterly MAPCP report on Rhode Island (quarter ending December 31, 2012). Provided to authors by CSI management staff.
The mechanism is actually a common contract amendment that all payers incorporate into their existing contracts with practices.
Rhode Island Chronic Care Sustainability Initiative (CSI-RI) Governing Structure, December 2006. Available at http://www.chcs.org/publications3960/publications_show.htm?doc_id=534883
CSI-RI: Strategic Planning, Final Plan, February 21, 2013. Available at http://www.pcmhri.org/files/uploads/CSI_Strategic_Plan_Summary%20March%202013.pdf
Rhode Island Beacon Community Program: 2012 Annual Report, Rhode Island Quality Institute, December 5, 2012. Available at http://www.pcmhri.org/files/uploads/Rhode%20Island%20Beacon%20Community%20Program%20Annual%20Report_FINAL12-21-12.pdf
Rhode Island Quality Institute (Fact Sheet, last updated November 29, 2012), Office of the National Coordinator for Health Information Technology. Available at http://www.healthit.gov/sites/default/files/beacon-factsheet-ri.pdf
University of Massachusetts program office communication.
Under a major subcontract to the University of Massachusetts, the Rhode Island Quality Institute will continue quality measurement and reporting tasks, utilization measurement (working with Research Triangle Institute), and administration of an annual Consumer Assessment of HealthCare Providers and Systems (CAHPS) survey. The University of Massachusetts will develop additional subcontracts, the largest of which will involve support for training and technical support for practices. Another will allow the program to develop and pilot two community health teams to help small practices become PCMHs. Others will support evaluation, grants management, marketing, and similar specialized needs. The remainder of the funds will be used to support the current staff at the University of Massachusetts and expand staff to handle the selection and training of new practices sites and increased needs for coordination.
http://innovation.cms.gov/initiatives/State-Innovations-Model-Design/
