The majority of state Medicaid programs are testing models of coordinated medical care to improve quality and reduce costs, particularly for patients with multiple chronic illnesses.  Patient-centered medical homes are similar to managed care approaches and health maintenance organizations, but ask providers to focus on improving care rather than managing costs. Such medical homes focus on improving the relationship between doctors and patients, aim to put the patient at the center of the care system, and provide coordinated and integrated care over time and across care settings. Descriptions of eleven states’ pilot programs or authorizing legislation are included.

Expedited partner therapy allows clinicians to treat the sex partners of patients diagnosed with chlamydia or gonorrhea prior to evaluating the partners, under certain conditions. Innovative and cost–effective, expedited partner therapy is legal in 22 states and is an increasingly important state prevention policy to reduce infections and their consequences, including infertility.

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A national report card finds that demand for emergency care is growing fast and the nation is unable to meet this demand, although states are adopting policies to increase citizens' access to care.

Suggested State Legislation: This Act directs the state board of medical examiners to set up and make available, primarily through the Internet, a database of information about doctors who practice in the state.  The Act requires physicians who apply for a license to practice medicine in the state, or to reinstate or reactivate an existing license, disclose specific information that can be accessed by the public via the Internet.