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Sponsor: Oregon Health and Science University
Conditions: Chronic Diseases
Interventions: Alternative Payment Model
The investigators are conducting a prospective analysis of the Alternative Payment Methodology (APM) demonstration project sites. The investigators' goal is to conduct a cross project analysis of findings. The investigators propose to use mixed methods to study processes and outcomes associated with the APM natural experiment in payment reform. The investigators hypothesize that Community Health Centers (CHCs) participating in the APM demonstration project will redesign their workflows to better focus on patient and population health needs, resulting in reallocation of financial resources, lower overall costs, changes in utilization patterns, and improved quality.
Sex: ALL
Age: 2 Years to 64 Years
Healthy volunteers: Yes
Study type: OBSERVATIONAL
Inclusion Criteria: 1. Total clinic population: established patients at intervention and control clinics aged 2-64 2. Medicaid Population: Medicaid-enrolled patients at intervention and control clinics aged 2-64 Exclusion Criteria: 1. Total clinic population: non-established patients at intervention and control clinics aged 2-64 2. Medicaid Population: non-Medicaid-enrolled patients at intervention and control clinics aged 2-64