The Primary Care Collaborative (PCC) 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:
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 Sarah Greenough, Director of Policy at [email protected].
The CY 2020 Medicare Physician Fee Schedule Proposed Rule with comment period was placed on display at the Federal Register on July 29, 2019. This proposed rule updates payment policies, payment rates, and other provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2020. CMS will accept comments on the proposed rule until September 27, 2019, and will respond to comments in a final rule.
PCPCC supports the Chronic Disease Management Act of 2019, legislation that would enable health plans to offer pre-deductible coverage of high-value services to patients that can improve outcomes and reduce complications. The legislation would create a preventive care safe harbor for treatment of chronic conditions.
PCPCC joined other health organizations in supporting legislation that would remove cost-sharing obligations from the Chronic Care Management (CCM) code to allow more chronically ill Medicare beneficiaries to receive care coordination and case management services. The current cost-sharing requirement creates an unnecessary barrier to care.
Included in the White House Executive Order on Healthcare Transparency was a provision directing HHS to issue guidance allowing high-deductible health plans to cover preventive care before the deductible – particularly for individuals with chronic conditions. PCPCC has advocated for greater flexibility in pre-deductible coverage, as it would improve access to high-value primary care for the many individuals covered by high-deductible health plans. The order also included a provision potentially allowing direct primary care arrangements to be funded by Health Savings Accounts.
PCPCC’s Primary Care Innovations and PCMH Map tracks a diverse range of PCMH and enhanced primary care programs nationwide.
Every year PCPCC releases Annual Review of the Evidence publications that summarize program outcomes for advanced primary care and PCMH initiatives taking place nationwide.
PCPCC's State Legislation Database tracks state government activity and legislation that specifically supports PCMH and other innovative primary care delivery models.
