Primary care is the building block upon which the entire health care system is built. While only a fraction of health care spending goes toward primary care, the providers delivering primary care services have the ability to affect up to 90% of health care costs through referrals, prescribing practices, prevention and disease management. Patient-centered medical homes (PCMH) seek to equip primary care providers with tools necessary to provide higher quality care, with financial incentives to control costs at the same time. The Business Group is supportive of efforts to reform the health care delivery system, including investment in high-performing primary care models that improve health outcomes, support referrals to high quality specialty care, and ultimately reduce costs.
Source: Avalere Health and Centers for Medicare and Medicaid
The Primary Care Imperative: New Evidence Shows Importance of Investment in Patient-Centered Medical Homes
Gives an overview of the PCMH model, reviews the exciting evidence, addresses common employer concerns, and provides employer recommendations.
Emerging Payment and Delivery Models – The Primary Care Physician’s Perspective
Looks at the perspectives of 500 primary care physicians concerning payment and delivery reform, such as pay-for-performance (P4P), primary care medical homes (PCMHs) and accountable care organizations (ACOs). Survey findings highlight what could be done to improve efficiency and drive optimal outcomes.
Questions for Employers to Ask Health Plans When Considering a PCMH Strategy
Checklist to help employers consider opportunities for investing in patient-centered medical homes (PCMH) in partnership with their health plans. New evidence shows PCMHs consistently achieving reductions in unnecessary utilization and costs.
ACO Toolkit: A Roadmap for Employers
Provides a road map on implementing an ACO strategy from assessing market opportunity, understanding ACO readiness, considering plan design options, improving employee engagement and evaluating ACO performance.
Payment and Delivery Reform: Employers and Health Plans Committee
The Committee works on identifying and developing effective solutions to the major issues affecting benefits managers of large employers, promoting the collaboration of employers and their carriers and providing a forum where members may bring up concerns directly with their health insurance carriers.
High-Performance Networks/Centers of Excellence Resources
Access all Business Group Resources on High-Performance Networks (HPN)/Centers of Excellence (COE) and learn about ways to optimize their value.