Patient Centered Primary Care Collaborative

Cultivate the PCMH“What Really Matters”

Edwina Rogers, Executive Director, PCPCC

PCPCC Membership and Activity Overview

National Convener on the PMCH Legislative and Regulatory Advocacy Develop PCMH Policy

•More than 700 members

•54 Executive Committee Members

•20 Advisory Board Members

•5 Centers

•7 Task Forces

•3 Annual Conferences & Summits

•Monthly Calls (National PCMH Movement Briefings, CMD, CPPI, CCE)•Bi-Weekly Calls (CEE, CeHIA)

•National Weekly Call (Thursday, 11AM EDT)

•Host Regular Webinars

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PCPCC’s Focus Areas 2010Strategic Plan

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PCPCC Center and Task ForceDeliverables

Value Based Insurance Design Report

Payment Reform Task Force Report

PCMH Transformation Resource Guide

Medication Management Guide Emmi Solutions PCMH Video

(soon to be available in Spanish)

Pilot Activity Tracking from CMD website

Letters to Congress Letters Regarding Meaningful

Use

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PCMH Implementation Tools- Report Release“Aligning Incentives and Systems”

Promoting Synergy Between Value-Based Insurance Design and the Patient Centered Medical Home”

Makes the business value case for PCMH showing link to VBID

Case studies: Whirlpool Company, the State of Washington, the City of Battle Creek, Mich., IBM, Roy O. Martin Lumber, CIGNA, Universal American, Geisinger Health System/Health Plan, Aetna and the State of Minnesota.

Authored by the Center for Employer Engagement in partnership with the National Business Coalition on Health and the University Michigan’s Center for Value-Based Insurance Design

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Test Drive the New PCPCC Website !

Soft Launch 3.18.2010 Membership Webinar

to be held 4.08.2010 Major features include

Master calendar listing all PCPCC events

On-line and interactive Pilot Guide

User portals (consumer & patients, employer & health plans, providers & clinicians, federal & state government

Center portals and updates

http://www.pcpcc.net

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Encouraging Movement White House, Senate and House

Major provisions of the Health Care Reform bills relevant to Primary Care and PCMH

State option to provide health homes for enrollees with chronic conditions. Provide States the option of enrolling Medicaid beneficiaries with chronic conditions into a health home.

Pediatric Accountable Care Organization demonstration project. Establishes a demonstration project that allows qualified pediatric providers to be recognized and receive payments as Accountable Care Organizations (ACO) under Medicaid.

Establishment of Center for Medicare and Medicaid Innovation within CMS. The purpose of the Center will be to research, develop, test, and expand innovative payment and delivery arrangements to improve the quality and reduce the cost of care provided to patients in each program.

Training in family medicine, general internal medicine, general pediatrics, and physician assistantship. Provides grants to develop and operate training programs, provide financial assistance to trainees and faculty, enhance faculty development in primary care and physician assistant programs, and to establish, maintain, and improve academic units in primary care.

Expanding access to primary care services and general surgery services. Beginning in 2011, provides primary care practitioners, as well as general surgeons practicing in health professional shortage areas, with a 10 percent Medicare payment bonus for five years.

Payments to primary care physicians. Requires that Medicaid payment rates to primary care physicians for furnishing primary care services be no less than 100% of Medicare payment rates in 2013 and 2014.

Other Items: ‘Grants to Establish Community Health Teams to Support a Medical Home Model’: the Secretary of HHS would establish a grant

program to creating the “community health team which is community-based, multi disciplinary, interprofessional teams (on the model of medical home) to increase access to comprehensive coordinated care.

Enhancing Health Care Workforce Education and Training -. Priority is given to programs that educate students in team-based approaches to care, including the patient-centered medical home. Authorization is set at $125 million. 7

CMS Activity and the PCMH

Planned Demonstrations

Medicare Medical Home Demo Status - on hold pending recent health care reform legislation

Multi-Payer Advanced Primary Care Practice Demo Status - invitation to states and solicitation in clearance

Federally Qualified Health Centers Advanced Primary Care Practice Demo Status - under development

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Recognition Programs for PCMH Developed or Under Development

Quality Organizations PCMH Standards Activity

2010

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CONTACT INFORMATION

Visit our website – http://www.pcpcc.netTo request any additional information on the PCMH or the Patient Centered Primary Care Collaborative please contact:

Edwina RogersPatient Centered Primary Care CollaborativeExecutive Director202.724.3331 202.674.7800 (cell)erogers@pcpcc.netThe Homer Building601 Thirteenth St., NW, Suite 400 NorthWashington, DC 20005

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