In the absence of broad federal health care reform, interest has grown in local solutions to the problem of providing health care to the uninsured. Community-based donated medical care models have emerged as one alternative. The authors examine the early experience of a donated care program in...

This report examines the role of the primary care medical home in Healthy San Francisco, a health care access program for uninsured adults in the city and county of San Francisco. The program’s medical home requirement—and its associated referral system—appear to have...

Applied research aims to provide answers to "real world" questions. Whether that research is used in the real world to encourage innovation and change, however, has typically not been a major research focus. The U.S. Agency for Healthcare Research and Quality’s Integrated Delivery Systems...

In the 1990s, insurance companies and employers began to rely on managed care to control costs, and state governments followed suit by adopting managed care in Medicaid programs. To deal with the challenges associated with developing effective state Medicaid managed care programs, the Robert...

The Medicaid Value Program tested interventions to improve care for adult Medicare beneficiaries with multiple chronic conditions. This report presents findings from Mathematica's evaluation; estimates of program effects, produced by the programs themselves; and case studies for the 10...

This article co-authored with the Agency for Healthcare Research and Quality, examines the distinct and complementary roles practice facilitators and care managers play in redesigning and improving primary care delivery. Practice facilitators coordinate practice quality improvement and redesign...