The Center’s Drug Effectiveness Review Project (DERP) supported The Idaho Medicaid Pharmacy Program.
Through a Multi-Payer Collaborative, the Center facilitated the work of private and public health plans in Colorado to develop a Framework for integrated whole-person care, adapted from The 10 Building Blocks of High-Performing Primary Care (Bodenheimer T et al., Annals of Family Medicine. 2014;12(2):166–171). The Framework establishes a shared understanding of how coordinated health care and social supports (including behavioral health) work together to improve individual and population health. The Center led work sessions with payers, primary and specialty care providers, and other stakeholders to establish common definitions, as well as milestones to guide the transformation toward whole-person care in Colorado communities.
A Framework for Integration of Whole-Person Care
“We wouldn’t have been able to have a transformative impact if it had just been Medicaid. To really transform care at the clinical level there has to be a critical mass of payers. The Center for Evidence-based Policy helped us bring everyone together around that common goal.”
former Chief Medical Officer and Deputy Medicaid Director
for the Colorado Department of Health Care Policy & Financing
“The engagement of commercial and public payers through the Multi-Payer Collaborative in Colorado is highly valuable. This voluntary convening supported SIM practices with value-based payments and will remain Colorado’s primary forum for sustaining efforts related to payment reform moving forward.”
Colorado State Innovation Model – Final Report
July 31, 2019 (revised September 4, 2019)
“You could not have had a payer lead this effort (data aggregation). It had to be a neutral party and Pam was really good at creating a structure and mechanism to get us to consensus.”
former Director of United Healthcare Networks Western Region
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