Thursday, November 17, 2016

Primary Care Payment Reform!

As the State continues to shift to value-based payment through the Accountable Care Collaborative, they are putting together a series of work groups to work through the details of primary care payment reform. They need the input of primary care practitioners to help fully operationalize payment reform and make a number of substantive operational decisions. They are inviting you to participate in these work groups to provide your insight and feedback. The State and primary care providers can work together to create value-based purchasing models that:
  • provide for a long-term sustainable investment strategy in primary care
  • reward performance
  • create revenue streams to primary care providers that do not rely on volume and allow for greater flexibility in providing care to clients
  • align with MACRA which will allow primary care providers to more easily hit value-based purchasing participation targets which will not just translate into more Medicaid dollars, but more Medicare dollars as well. 

There are several areas where they will need to partner with different types of experts in the community to flush out operational and policy detail to ensure the models they implement make sense from the ground level up. All workgroup activity will be shared publicly and will not be the exclusive forums for development and vetting of value-based purchasing models for primary care. A series of work group meetings covering different topics will follow the kick-off including: 

1.       Criteria
2.       Measurement
3.       Payment Design
4.       Designation
5.       CPC+ Track 2
6.       Attribution

Click here for more details on the workgroups and the kind of expertise needed. Dates and times for these meeting have not been determined yet but click here to sign up to receive more information about the workgroups!  You may also email Marla Stickley directly at marla.stickley@state.co.us if you would like to participate in the Primary Care Payment Workgroups.

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