Advocacy and Policy

2019 Policy and Advocacy Agenda

The Patient-Centered Primary Care Collaborative (PCPCC) engages in team-based advocacy around policy and practice changes that promote robust primary care to achieve the quadruple aim. Our policy strategy is focused on increased investment in primary care through alternative payment models that enable PCMHs and other types of advanced primary care to provide integrated, higher-value care that connects to the community.

Evidence demonstrates – and our Executive Members and Supporters believe – that comprehensive primary care is a high-value intervention that transforms our health care system.  We work to empower patients through increased access to advanced primary care, and we support clinicians by encouraging team-based care and by empowering them to deliver the care that patients need and desire.  While we engage in a variety of issues, PCPCC’s current policy focus is on allocating the resources needed to achieve advanced primary care and ensuring patient access to such care.  More specifically: 

Support Payer and Purchaser Innovations that Promote Access to Primary Care

  • Shape the legislative/regulatory environment for value-based models to ensure that access to high-value primary care is core to benefit design. (Recent studies show a decline in patient use of such care – perhaps due to financial barriers.)
  • Collect and disseminate evidence linking access to high-performing primary care to improvements in health, affordability, and workforce outcomes
  • Promote the selection of a primary care provider at enrollment, the removal of financial barriers to primary care through the reduction of copayments and deductibles for high-value primary care services, and access to Patient-Centered Medical Homes

Investment in High-Value Primary Care that Improves Outcomes and Prevents Avoidable Costs

  • Promote a standardized way to measure and report primary care spending as a percentage of overall spend
  • Collect and disseminate evidence on the impact of adequately resourced primary care models 
  • Make the case for investment in high-value primary care alternative payment models that ensure support for comprehensive, coordinated, team-based primary care with proven results

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Primary Care Investment Workshop

Slides and Recap of PCPCC's Nov 9, 2018 Workshop on Primary Care Investment


In addition to these two advocacy-related focus areas, PCPCC will continue to convene thought leaders, develop programming, and educate in areas core to its work of strengthening advanced primary care models, including practice-level behavioral health integration, team-based and collaborative care, and patient and family engagement.

Learn more about these efforts as they develop at www.pcpcc.org or reach out the Chris Adamec, Director of Policy at [email protected].

 

 

 

PCPCC has long led the effort to transform primary care into a more integrated, team-based model – captured through the Patient-Centered Medical Home (PCMH).   While these models are becoming widely adopted, they rarely have enough resources nor the flexibility in payment structure to meet the goals laid out by the Shared Principles of Primary Care.   As shown in PCPCC’s Primary Care Innovations Map, there are exciting demonstrations, plans, and regions that are exceptions to this rule, but clinicians, on a national level, continue to struggle to realize the vision for primary care embodied in the Shared Principles.

Recent Policy and Advocacy Activity

May 6, 2019

Vermont Governor Phil Scott signed into law S.53, now Act 17 of 2019.  The law will determine the proportion of health care spending allocated to primary care and conduct an analysis of different methods for increasing primary care investment. https://legislature.vermont.gov/bill/status/2020/S.53

April 26, 2019

PCPCC joined the coalition "Friends of PCORI Reauthorization" to advocate for the Patient-Centered Outcomes Research Institute's work studying how different medications and treatments compare, so patients and their caregivers have the information they need to choose the health care and treatment options that are best for them.

April 3, 2019

More than 20 leading organizations supporting primary care research, delivered a letter to Congressional Appropriators requesting $5 million for FY2020 to fund the Center for Primary Care Research (CPCR) at the Agency for Healthcare Research and Quality (AHRQ). The letter emphasizes that, with appropriate funding, the CPCR will improve coordination and emphasize the need for expanded primary care research—both in the clinical and health services spheres. The requested $5 million establishes a funding foothold and is a first-step supporting AHRQ’s unique role to conduct and expand primary care research, furthering the mission of PCPCC’s Shared Principles of Primary Care.

March 26, 2019

PCPCC joined with other leading health coalitions to call on the CMS Center for Medicare & Medicaid Innovation (Innovation Center) to continue to improve transparency and stability as they develop a successful portfolio of payment models.  The organizations called on CMMI to publicly communicate model design elements and eliminate mandatory mid-year changes to improve providers’ ability to evaluate and compare options while still allowing the Innovation Center to be nimble and flexible, consistent with its mission. Affording stakeholders an opportunity to provide feedback will strengthen the model portfolio over the long term and create stability and predictability that supports moving away from fee-for-service and fosters the movement to higher levels of risk and reward.

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