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  • Building Bridges to Value: Infrastructure Essentials for Community Health Centers

    Report Primary Care Transformation

    Building Bridges to Value: Infrastructure Essentials for Community Health Centers

    May 2025 Hope Glassberg Henry Chung Jordanna Davis Adam J. Falcone Alison Gold

    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

  • Implementing High-Quality Primary Care: A Policy Menu for States

    Issue Brief Primary Care Transformation

    Implementing High-Quality Primary Care: A Policy Menu for States

    September 2025 Christopher F. Koller Diana Bianco Katie Greene Maddy Hraber Sandra Wilkniss

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

  • Policy Strategies for State Medicaid Agencies to Advance Community Health and Well-Being

    Report State Health Policy Leadership

    Policy Strategies for State Medicaid Agencies to Advance Community Health and Well-Being

    December 2025 Katie M. Huber Samantha Repka Sara Debab Alida Austin William K. Bleser Rushina Cholera Robert S. Saunders Rebecca G. Whitaker

    Copublished with the Duke-Margolis Institute for Health Policy Abstract  Recent federal policy reforms and funding reductions pose… More

  • The Health of US Primary Care: 2024 Scorecard Report — No One Can See You Now

    Report Health of US Primary Care Scorecard Primary Care Transformation

    The Health of US Primary Care: 2024 Scorecard Report — No One Can See You Now

    February 2024 Yalda Jabbarpour Anuradha Jetty Hoon Byun Anam Siddiqi Stephen Petterson Jeongyoung Park

    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

  • The Impact of Federal Value-Based Primary Care Programs on Participating Oregon Practices: A Snapshot

    Issue Brief Multipayer Primary Care Network Primary Care Transformation

    The Impact of Federal Value-Based Primary Care Programs on Participating Oregon Practices: A Snapshot

    December 2020 Diana Bianco Chris DeMars Lisa Miller Emilie Sites

    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

  • Behavioral Health Integration in Pediatric Primary Care: Considerations and Opportunities for Policymakers, Planners, and Providers

    Milbank-Supported Report

    Behavioral Health Integration in Pediatric Primary Care: Considerations and Opportunities for Policymakers, Planners, and Providers

    March 2017 Elizabeth Tobin-Tyler Rachel L. Hulkower Jennifer W. Kaminski

    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

  • Milbank-Supported Report Primary Care Transformation

    Investing in Primary Care: A State-Level Analysis

    July 2019 Yalda Jabbarpour Ann Greiner Anuradha Jetty Megan Coffman Charles Jose Stephen Petterson Karen Pivaral Robert Phillips Andrew Bazemore Alyssa Neumann Kane

    In a first-of-its-kind study, the 2019 Patient-Centered Primary Care Collaborative (PCPCC) Evidence Report examines states’ primary care spending patterns, including spending across payer types, and considers the implications of these results for select patient outcomes. More

  • The Health of US Primary Care: 2025 Scorecard Report — The Cost of Neglect

    Report Health of US Primary Care Scorecard Primary Care Transformation

    The Health of US Primary Care: 2025 Scorecard Report — The Cost of Neglect

    February 2025 Yalda Jabbarpour Anuradha Jetty Hoon Byun Anam Siddiqi Jeongyoung Park

    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

  • State Health Policy Leadership

    Can Interstate Licensure Compacts Enhance the Health Care Workforce?

    April 2023 Ann M. Nguyen Magda Schaler-Haynes

    Although health care licensing is traditionally a state function, rigid state borders can be ill-suited to meet needs in terms of access to care for… More

  • Issue Brief Multipayer Primary Care Network Primary Care Transformation State Health Policy Leadership

    It Takes Two to Tango: Creating an Effective State–Federal Partnership for Primary Care Reform

    May 2024 Lauryn Walker Shannon Dowler Barbra Rabson Bob Rauner

    This brief provides seven recommendations for how the federal government can support states in their primary care reform efforts. More