Clinical Integration - Program Case Examples

Case examples, CMS demonstrations, other initiatives, and California Healthcare foundation resources

Case Examples

Building Quality into RIte Care: How Rhode Island Is Improving Care for Low-Income Residents

Improving Continuity of Care for Chronic Conditions: The Texas Medication Algorithm Project

Disease Management: Florida's MediPass Program

Indiana: Chronic Disease & High-Risk Nurse Management

Advanced Care Management: CoverColorado



The Medicare Physician Group Practice Demonstration: Lessons Learned on Improving Quality and Efficiency in Health Care, The Commonwealth Fund, February 2008

Medicare Physician Group Practices: Innovations in Quality and Efficiency, The Commonwealth Fund, December 2006

Coordinating Care for Medicare Beneficiaries: Early Experience of 15 Demonstration Programs, Their Patients, Their Providers, Report to Congress, May 2004, Mathematica Policy Research

Medicare Chronic Care Improvement Project (CCIP): Update & Implications, March 2005

The CMS Chronic Care Improvement Phase I RFP – PowerPoint Presentation Presented at the MCOL Medicare Reform Web Summit, May 2004


Other Initiatives

Chronic Illness and Disease Management Initiative, The Council on State Governments

AAMC Chronic Care Initiative
22 Academic Medical Center Participate in Innovative Partnership, April 28, 2005

Center for Healthcare Strategies

Medicaid Value Program: Health Supports for Consumers with Chronic Conditions Start Date: February 2005

A Business Case for Quality in Medicaid Managed Care Start Date: June 2004

Improving Care for Adults with Chronic Illnesses and Disabilities


California Healthcare Foundation Resources

Improving Diabetes Care in California’s Central Valley, May 2005

Improving Diabetes Efforts across Language and Literacy, November 2004

Frequent Users of Health Services Initiative, July 2004

Related Resources

AHA Center for Health Innovation Market Scan
Treating the whole patient — both mind and body — in a well-coordinated system has become essential to health care’s mission. But integrating behavioral health…
AHA Center for Health Innovation Market Scan
Humana has selected the first four participating organizations in its hospital-improvement program, which focuses on general acute-care hospitals and ways to…
The Federal Trade Commission’s approach to reviewing hosp
AHA's comment on the Office of Inspector General’s Request for Information on ways to modify or add regulatory safe harbors and exceptions for the Anti-…
RE: CMS-1720-NC, Request for Information Regarding the Phy
Fact Sheets
The AHA Task Force on Ensuring Access in Vulnerable Communities examined ways in which the access to and delivery of care could be improved. This strategy –…