Arkansas

Arkansas has a strong commitment to supporting the PCMH as a foundation to state health care reform, evidenced by sweeping statewide legislation and grant funded PCMH pilots. In 2011, Arkansas Medicaid, the Arkansas Department of Human Services, Arkansas Blue Cross and Blue Shield, and QualChoice of Arkansas partnered to transform the state’s health care and payment system through the Arkansas Health Care Payment Improvement Initiative. In 2013, the Governor signed the Health Care Independence Act into law. The Health Care Independence Act requires QHPs offered on the exchange to participate in the Arkansas Payment Improvement Initiative, which includes assignment to a primary care clinician, support for PCMH and access of clinical performance data for providers.

In 2013 Arkansas was awarded a State Innovation Model grant by CMS, which further builds upon their Payment Improvement Initiative and PCMH support. In 2014, the Arkansas legislature approved the expansion of Medicaid through a "private option" platform. The "private option" allows the state to use federal funding to buy plans for low-income individuals from the state's Insurance Marketplace. In January of 2015, Arkansas Surgeon General "noted that close to 80 percent of the state’s Medicaid beneficiaries are now covered by a patient-centered medical home."  

 

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
Yes
SIM Awards: 
Yes
PCMH in QHP: 
Yes
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
2,941,100
Uninsured Population:
15%
Total Medicaid Spending FY 2013: 
$4.2 Billion 
Overweight/Obese Adults:
69.9%
Poor Mental Health among Adults: 
35.9%
Medicaid Expansion: 
Yes
CPC+: 
CPC+

Arkansas Blue Cross Blue Shield Patient-Centered Medical Home Program

In February 2011, Arkansas Blue Cross and Blue Shield announced seven practices chosen to participate in a patient-centered medical home (PCMH) pilot program.  In this two year pilot,  practices will adopt the key features of the PCMH and  will provide information for tracking their progress. This information will include measures of quality, access to care, and patient satisfaction.

Arkansas Comprehensive Primary Care Initiative

In September 2012, Arkansas was chosen as one of seven markets to participate in the Comprehensive Primary Care initiative.

CMS State Innovation Model (SIM) Test Award - Arkansas

In early 2013, the State of Arkansas was awarded a $42 million grant from the Center for Medicare and Medicaid Services (CMS) to implement and test its State Innovation Model. The Arkansas model for a sustainable, patient-centered health care system is based on two complementary strategies—population-based care delivery and episodes-based payment—that are being launched statewide with the support of both public and private insurers.

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