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Mental Health and SUD, Quality and Performance Measurement, Medicare-Medicaid Integration, Program Design Implementation and Assessment Mental Health and SUD, Quality and Performance Measurement, Medicare-Medicaid Integration, Program Design Implementation and Assessment

California’s Public Hospitals are Improving Quality and Health Outcomes through PRIME

By Trish Violett, Junior Policy Consultant and Megan Thomas, Director, Quality Initiatives

Over the past four years, the 52 hospitals and health systems participating in the California Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program have been working to improve care delivery and maximize health care value through a “pay-for-performance” model. The PRIME hospitals are using evidence-based quality improvement methods to achieve designated goals and outcomes on select clinical projects and associated performance metrics.

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Mental Health and SUD, Medicare-Medicaid Integration Mental Health and SUD, Medicare-Medicaid Integration

Medicaid: Paving the Path to Recovery

By Jennifer Ryan, Vice President; Tanya Schwartz, Director, Medicaid Policy; and Molly Brassil, Director, Behavioral Health Policy

One would need to be completely “off the grid” to not be aware of the opioid crisis that has overtaken the country. Alarming and heart wrenching stories about the surprising range of victims of the substance use epidemic top the news headlines on a daily basis. The death rate due to drug overdoses has exceeded car accidents as the leading cause of death among adults under age 50 – since 2000, the rate of overdose deaths involving opioids (opioid pain relievers and heroin) has increased by 200%.

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