Strategies

Policies and programs that work

10 Strategies
Clear all

Consumer-directed health plans

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools
Mixed Evidence
  • Quality of Care

Federally qualified health centers (FQHCs)

Increase support for non-profit health care organizations and deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay; often called community health centers (CHCs)
Scientifically Supported
  • Access to Care

Medical homes

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system
Scientifically Supported
  • Quality of Care
  • Access to Care

Patient financial incentives for preventive care

Use payments, vouchers, and other incentives to encourage patients to undergo preventive care such as screenings, vaccinations, etc.
Scientifically Supported
  • Quality of Care

Patient shared decision making

Support joint decision making between health care practitioners and patients through shared decision making (SDM); part of patient-centered care
Scientifically Supported
  • Quality of Care

School-based health centers

Provide health care services on school premises to attending elementary, middle, and high school students; services provided by teams of nurses, nurse practitioners, and physicians
Scientifically Supported
  • Education
  • Access to Care

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely for patients who live in areas with limited access to care or would benefit from frequent monitoring; also called telehealth
Scientifically Supported
  • Access to Care

Text message-based health interventions

Provide reminders, education, or self-management assistance for health conditions, especially chronic diseases, via text message
Scientifically Supported
  • Access to Care

Tiered drug formularies

Vary patient drug costs by tier; e.g., generic drugs have the lowest co-pay or cost sharing in tier one, then preferred brand name medications (tier two), then non-formulary drugs (tier three)
Mixed Evidence
  • Quality of Care

Value-based insurance design

Create financial incentives or remove financial disincentives to affect consumer choices and incentivize provision of cost efficient health care services
Scientifically Supported
  • Quality of Care