Commonwealth Fund January 19, 2022

James Macrae, M.A., M.P.P., is the associate administrator of the Bureau of Primary Health Care, a division of the federal Health Resources and Services Administration that supports the nation’s 1,400 federally qualified health centers (FQHCs). In addition to disbursing the bureau’s $5.6 billion budget, Macrae oversees programs that support data measurement and partnerships among health centers to help them strengthen care. We spoke with Macrae about the potential risks and benefits as more health centers adopt alternative payment models.

Transforming Care: Do you have a rough sense of how many health centers have started on the path toward alternative payment models?

Macrae: While we don’t have a precise number, we estimate that there are probably between 50 to 100 health...

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Topics: Health System / Hospital, Interview / Q&A, Payment Models, Primary care, Provider, Trends, Value Based
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