Using Medicaid Rate Increases as a Lever for Reform of Primary Care Delivery and Payment


The coming increase in Medicaid's reimbursement for primary care providers, as called for in the Affordable Care Act, presents an opportunity to align payments to providers with the improvements they achieve in quality and access to care. Enhanced reimbursement rates should also expand the heavily stretched network of Medicaid primary care providers. This project aims to inform the implementation of the rate increase, maximize coordination between federal and state officials, and minimize the technical burden. The research team will work with at least five state Medicaid agencies and the Centers for Medicare and Medicaid Services, providing guidance on how to implement the change in a way that promotes primary care payment approaches which place a premium on quality and efficiency.

Grant Details

Grantee Organization:
Center for Health Care Strategies, Inc.
Principal Investigator:
Nikki Highsmith, M.P.A.
Award Amount:
Approval Date:
April 12, 2011

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