Advocacy and Policy

2020 Policy and Advocacy Agenda

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, PCC’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

Latest state updates on primary care investment

Policy Updates

February 2, 2021
The Department for Health and Human Services committed to distributing over $22 billion to state and local jurisdictions by Jan. 19 to support the COVID-19 vaccine rollout and contain the virus. $19 billion will go toward testing, contact tracing and mitigation, with another $3 billion supporting... more
January 4, 2021
As president-elect Joe Biden and his administration prepare to take office on January 20, the PCC has prepared a list of policy priorities in primary care that were submitted to Biden's transition team in late December: The Primary Care Collaborative (PCC) is eager to work with the new... more
December 3, 2020
The final rule for the 2021 Physician Fee Schedule has been released! With some telehealth expansions and an increase to E/M codes that will help to support primary care practices, CMS has shown a strong commitment to prioritizing primary care investment!

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
Learn More
Map provided by Milbank Memorial Fund

In addition to these two advocacy-related focus areas, PCC 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 here on our website, or reach out us at [email protected]

PCC 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 PCC’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.

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