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This report offers community health centers, their partners, policymakers, and others a place to start in addressing challenges to implementing value-based payment models, particularly as the safety net faces potential cuts in federal funding for Medicaid. More

Recent federal policy reforms and funding reductions pose significant challenges to state Medicaid programs. These changes will likely disrupt Medicaid agencies’ investments in innovative initiatives — such as efforts to address upstream drivers of health and modernize health information technology — that drive progress toward advancing high-quality, accessible, and cost-effective care. More

This report provides state leaders with a range of policy options states can use to strengthen primary care across geopolitically diverse contexts. More

This analysis shows the tangible benefits of primary care access for people with chronic disease, including substantially lower hospitalization rates and health care spending. More

This year’s Scorecard report assesses the health of primary care at the federal level using measures of access, financing, workforce/training, and research More

As states brace for federal funding cuts and potentially large disenrollments in Medicaid, this report assesses the extent to which Medicaid managed care delivers value across its core functions: reducing financial risk for states; utilization management; network formation; care management; quality improvement; and paying for claims. More

This brief finds that 62 Oregon primary care practices that participated in Comprehensive Primary Care Initiative (CPC Classic) and continued with the Comprehensive Primary Care Plus (CPC+) showed positive trends on most quality measures, as well as emergency department utilization and avoidable emergency department utilization across all payer types. More

Much research on behavioral health integration (BHI) has focused on adults. But children are affected by mental disorders too. BHI can also help children. This report is intended for anyone interested in improving the welfare of children in the health care system. More

This 2025 Primary Care Scorecard spotlights the downward cycle of financing for primary care, describing how persistent challenges in primary care arise from insufficient investment (or in the case of training, misplaced investment) and a fee-for-service (FFS) payment model that rewards volume rather than continuous, whole-person care. This report highlights how these systemic financial issues not only undermine the effectiveness of primary care delivery but, more importantly, jeopardize the overall health of our communities in the following ways. More