Evaluating community health centers' adoption of a new global capitation payment (eCHANGE) study protocol

Contemp Clin Trials. 2017 Jan;52:35-38. doi: 10.1016/j.cct.2016.11.001. Epub 2016 Nov 9.


Primary care patient-centered medical homes (PCMHs) are an effective healthcare delivery model. Evidence regarding the most effective payment models for increased coordination efforts is sparse. This protocol paper describes the evaluation of an Alternative Payment Methodology (APM) implemented in a subset of Oregon community health centers (CHCs), using a prospective matched observational design. The APM is a primary care payment reform intervention that changed Oregon's Medicaid payment for several CHCs from fee-for-service reimbursement to a per-member-per-month capitated payment. We will implement a difference-in-difference analytic approach to evaluate pre-post APM changes between intervention and control groups, including: 1) clinic-level outcomes, 2) patient-level clinical outcomes, and 3) patient-level econometric outcomes. Findings from the project will be of national significance, as there is a need for evidence regarding how novel payment methods might enhance PCMH capabilities and support their capacity to produce better quality and outcomes. If this capitated payment method is proven effective, study findings will inform dissemination of similar APMs nationwide.

Keywords: Capitation; Medicaid; Patient-centered medical homes; Payment methodology.

Publication types

  • Observational Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Capitation Fee*
  • Community Health Centers / economics
  • Community Health Centers / organization & administration*
  • Fee-for-Service Plans
  • Humans
  • Medicaid
  • Oregon
  • Patient-Centered Care / economics
  • Patient-Centered Care / organization & administration*
  • Primary Health Care / economics
  • Primary Health Care / organization & administration*
  • Prospective Studies
  • Reimbursement Mechanisms
  • United States