Exploring Capitated Payment for Primary Care in California
Pioneering a new era in primary care financing, hybrid payments offer a promising alternative to traditional fee-for-service models, focusing on quality over quantity to enhance patient outcomes and system efficiency.
CQC's latest issue brief explores the nuances of capitated payment models, their regulatory landscape and the multi-stakeholder collaboration needed to transform primary care in California, increasing quality, reducing disparities and ensuring better health for all.
CQC and the Integrated Healthcare Association have developed a collective value-based payment model that increases investment in primary care and will test it through the Payment Model Demonstration Project.
Selecting the Behavioral Health Integration Model that Meets Your Needs
We want to build systems that enable primary care providers to confidently care for those with behavioral health needs that impact their patients’ overall wellbeing.
-Perlman Clinic vision for integration
Integrating behavioral health into primary care leads to improved patient outcomes and greater access to mental health services. One of the first steps in the implementation process is for organizations to select an integration model that best meets their needs.
View the Implementation Snapshot
CQC's CalHIVE Behavioral Health Integration Improvement Collaborative is helping provider organizations integrate behavioral health into primary care.
CQC Steering Committee March Convening
Last week, the CQC Steering Committee hosted Dr. Sunita Mutha from the Healthforce Center at the University of California San Francisco. Her presentation provided valuable insights into California's primary care workforce, focusing on regional collaboration, clinical training expansion and policy advocacy. Key highlights included:
- Workforce challenges like an aging population, geographic maldistribution, lack of diversity and burnout
- The crucial roles of nurse practitioners and physician assistants in patient education and counseling
- California's evolving medical training and increasing reliance on out-of-state practitioners
We are grateful for Dr. Mutha's contribution and insightful dialogue, which underscored the importance of
collaborative and accessible primary care, aligning with CQC's aims to improve health outcomes through value-based payment models, behavioral health integration, addressing social needs and more.
Resources
- Addressing Disparities in Colorectal Cancer
- View 3/20 CQC webinar recording and presentation (see slide 21 for a list of resources for providers, patients and more)
- Prioritizing Patient Experiences in Diabetes Management
- California Community Midwives Face Significant Challenges to Becoming Medi-Cal Providers
- Read Osher Center for Integrated Health at USCF study
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We want to ensure our newsletter is bringing the most value possible to you. Let us know what topics you would like us to explore in future newsletters. Email us at cqcinfo@pbgh.org.
Connect with CQC
The California Quality Collaborative (CQC) is a quality improvement program of the Purchaser Business Group on Health (PBGH).
