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."  

 

Primary Care Innovations and PCMH Activity

Dual Eligible 2703 SPA CPC CPC+ PCMH QHP PCMH Legislation Private Payer

Multi-Payer Programs

Program Name Payer Type Coverage Area Parent Program Outcomes
Arkansas Comprehensive Primary Care Initiative Multi-Payer Statewide CMS Comprehensive Primary Care Initiative
The Arkansas PCMH Program Multi-Payer Statewide

Public Payer Programs

Program Name Payer Type Coverage Area Parent Program Outcomes
CMS State Innovation Model (SIM) Test Award - Arkansas Grant Statewide CMS State Innovation Model (SIM)

Private Payer Programs

Program Name Payer Type Coverage Area Parent Program Outcomes
Arkansas Blue Cross Blue Shield Patient-Centered Medical Home Program Commercial Five Cities: Bryant; Clinton; Harrison; Jonesboro; Little Rock Blue Cross Blue Shield Value-Based Care Program
Cigna Collaborative Accountable Care (CAC) Program - PremierCare Northwest Commercial Northwest Arkansas Cigna Collaborative Care Program

State Legislation

Legislation Status Year
Health Care Independence Act

The Health Care Independence Act requires Qualified Health Plans (QHPs) offered on the Arkansas 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.

Active 2013

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

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