Health Care Innovations Exchange

The latest issue of AHRQ's Health Care Innovations Exchange features three State programs that reimbursed medical homes for delivering high-quality, coordinated care to Medicaid beneficiaries, improving outcomes and lowering costs.

One of the featured policy profiles describes the Colorado Accountable Care Collaborative, a primary care-based model in which the State Medicaid agency contracts with regional organizations that, in turn, contract with primary care-led medical homes. The medical homes coordinate specialist, hospital, behavioral health and social services on behalf of Medicaid enrollees, leading to fewer admissions and readmissions, less use of high-cost imaging services, and a slowdown in the growth of emergency department visits. The payment model for the program uses a blend of fee-for-service for medical services, capitation for care management and coordination, and financial incentives to promote quality and efficiency. Collectively, these improvements have yielded an estimated $6 million in cost savings for the State.

Current as of July 2014
Internet Citation: Health Care Innovations Exchange. July 2014. Agency for Healthcare Research and Quality, Rockville, MD.