NCCHCA is the HRSA funded state Primary Care Association (PCA). The non-profit, consumer-governed Federally Qualified Health Centers (FQHCs) we represent provide integrated medical, dental, pharmacy, behavioral health, and enabling services to nearly one-half million patients in North Carolina. FQHCs receive federal assistance to provide sliding-fee services to assure no one is denied access to care. NCCHCA represents FQHCs to state and federal officials and provides training and technical assistance on clinical, operational, financial, administrative, and governance issues.
NCCHCA is also a HRSA Health Center Controlled Network (HCCN) grantee. Participating in the HCCN – Carolina Medical Home Network (CMHN) -health centers have the opportunity to work together on quality improvement and operational system redesign initiatives and engage in payment reform models through the Independent Practice Association (IPA) and Accountable Care Organization (ACO) initiatives.
NCCHCA is the sponsor and managing partner of Carolina Medical Home Network (CMHN), which serves as the clinical and operational performance improvement organization of NCCHCA and member health centers. CMHN is a 33 member HRSA funded Health Center Controlled Network (HCCN) currently in the second three-year grant cycle. All members are NC health centers. CMHN provides its members with data analytics, quality improvement, and Health Information Exchange connectivity to improve cost, quality, and outcomes of care.
Carolina Medical Home Network – Accountable Care Organization (CMHN-ACO) is a partnership of 8 NC health centers that have entered into the Medicare Shared Savings Program (one-sided model). Currently in Program Year 3, CMHN-ACO received funding from the Center for Medicaid and Medicare Services (CMS) for ACO Investment Model (AIM) to support care coordination efforts at ACO member health centers and network administrative services. NCCHCA launched a Data-Informed Outreach project in collaboration with CMHN that supports community health workers in health centers to augment care coordination efforts. CMHN-ACO serves as the pilot for identification of population health strategies to scale up to the larger CMHN network.
Carolina Medical Home Network – Independent Practice Association (CMHN-IPA) is a network of 30 NC health centers in partnership with NCCHCA, striving towards clinical integration with the goal of leveraging size, scope and coordinated performance improvement in third-party payer negotiations. The IPA couples CMHN-ACO tested methods with business strategies to develop advantageous network-level contracts with payers.