Reporting from the Front Lines: Implementing Oregon's Alternative Payment Methodology in Federally Qualified Health Centers

Erika Cottrell, Jennifer D. Hall, Glenn Kautz, Heather Angier, Sonja Likumahuwa-Ackman, Laura Sisulak, Sara Keller, David C. Cameron, Jennifer Devoe, Deborah Cohen

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Alternative payment models have been proposed as a way to facilitate patient-centered medical home model implementation, yet little is known about how payment reform translates into changes in care delivery. We conducted site visits, observed operations, and conducted interviews within 3 Federally Qualified Health Center organizations that were part of Oregon's Alternative Payment Methodology demonstration project. Data were analyzed using an immersion-crystallization approach. We identified several care delivery changes during the early stages of implementation, as well as challenges associated with this new model of payment. Future research is needed to further understand the implications of these changes.

Original languageEnglish (US)
Pages (from-to)339-346
Number of pages8
JournalJournal of Ambulatory Care Management
Volume40
Issue number4
DOIs
StatePublished - 2017

Keywords

  • capitation
  • Federally Qualified Health Center
  • Medicaid
  • patient-centered medical home
  • payment methodology

ASJC Scopus subject areas

  • Health Policy

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