AHCCCS has several initiatives underway aimed at building a more cohesive and effective health care system in Arizona by reducing fragmentation, structuring provider reimbursements to incentivize quality outcomes, leveraging health information technology and working with private sector partners to further innovation to the greatest extent. This page highlights ongoing initiatives with links to more detailed information and will be updated as more information becomes available.
Building A Health Care System: Care Coordination and Integration
Today’s health care system is a series of parts not yet connected to each other. AHCCCS has various initiatives designed to improve care coordination and communication while reducing fragmentation to weave these series of parts together. Learn more about Care Coordination and Integration
Incentivizing Quality: Payment Modernization
Modernizing the way health care services are purchased means rethinking the end product. Today’s reimbursement structure favors the provider with higher production numbers. In order to bend the cost curve, there must be a paradigm shift such that reimbursement favors the provider who achieves a quality health outcome. Learn more about Payment Modernization
Improving Communications: Health Information Technology
The State Medicaid Health Information Technology Plan (SMHP) describes the Agency’s historical, current, and future efforts to improve health outcomes by leveraging electronic health record (EHR) deployment, adoption, and use by providers. In addition, AHCCCS continues to be an active participant in the Health Information Network of Arizona (HINAz), Arizona’s Health Information Exchange. Learn more about Health Information Technology.
Connecting Communities: The Importance of Private Sector Partners
The AHCCCS program was founded upon a competitive, public/private partnership model. AHCCCS began in 1982 as the first statewide mandatory managed care program, placing all enrollees (except American Indians/Alaska Natives) in private health plans for acute care, long term care and behavioral health (known as Regional Behavioral Health Authorities). Medicaid managed care has evolved and answered the call toward continued innovation and population health strategies. Learn more about Private Sector Partners
Transforming Health Care Delivery: Delivery System Reform Incentive Payment (DSRIP)
The Arizona Delivery System Reform Incentive Payment (DSRIP) program will incentivize both providers and Managed Care Organizations (MCOs) to collaborate more effectively to create and sustain integrated, high performing health care delivery systems that can effectively meet the needs of AHCCCS members, driving better health and financial outcomes. Learn more about DSRIP.