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Putting Primary Care First: Factors Influencing State Medicaid Agency Participation in Federal Primary Care Models

The Centers for Medicare and Medicaid Services has recognized the importance of investing in primary care and has launched three models designed to strengthen it: Comprehensive Primary Care, Comprehensive Primary Care Plus (CPC+), and Primary Care First. All three models are designed to align multiple payers with Medicare. As the first or second largest payer in most markets and driver of a state’s health policy priorities, Medicaid can be a very influential participant. To gain insights into state Medicaid agencies’ decision-making around participating in these federal models, the Center for Health Care Strategies interviewed Medicaid leadership from nine states that considered participating in these models. These states included three Medicaid agencies that participated in CPC+, four agencies that had participating regions but did not join as a payer, and two agencies that opted to move forward with their own primary care models rather than participate in CPC+.

 

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  • Author(s):
  • Greg Howe
  • Anne Smithey
  • Rob Houston
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Putting Primary Care First: Factors Influencing State Medicaid Agency Participation in Federal Primary Care Models
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  • White Paper
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Website:Visit Publisher Website
Publisher:The Milbank Memorial Fund
Published:May 1, 2021
License:Copyrighted
Copyright:© 2021 Milbank Memorial Fund

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