Public Policy & Advocacy Agenda

Today, PCPCC’s membership includes more than 1,000 stakeholder organizations throughout the U.S working in partnership to advance policy that supports care delivery and payment innovations across a broad range of stakeholders. Our public policy agenda supports the work of a broad range of stakeholders, including the following key issues:

Support payment reforms that reward care delivery innovations and achieve the goals of the Triple Aim.

  • Align payment incentives with care delivery innovations that encourage patient-centered, team-based care.
  • Increase support for payment innovations and evaluation projects, and identify success factors and best practices to disseminate broadly.
  • Provide incentives for states that encourage payment and care delivery reforms through Medicaid programs, health insurance exchanges, Accountable Care Organizations (ACO), and other regional or community initiatives.
  • Reform the Medicare fee-for-service system by supporting payment and care delivery models that support patient-centered medical homes and management of high-cost, complex populations in the medical neighborhood.

Support care delivery innovations that strengthen the primary care infrastructure and workforce.

  • Continue support for the adoption of meaningful use (MU) electronic health record standards, and health information exchange (HIE).
  • Support the transition to non-face-to-face patient visits and reward providers appropriately for adopting the health information technology (HIT) necessary to support the transition.
  • Support investment in education and training for health care professionals that advances patient-centered team based care, use of HIT, disease management, and care coordination.

Design employee health benefits that promote wellness, prevention, and access to medical homes.

  • Support employer adoption of value-driven payment models, and strong partnerships with patient-centered medical home and ACO providers, networks and health systems.
  • Support technical assistance and knowledge sharing among large and small employers to identify successful benefit design models that promote employee and family health, wellness, and engagement.
  • Reward employers for developing employee wellness and prevention programs and for connecting employees to high-quality, patient-centered medical home practices.

Engage and educate patients, families, and caregivers in choosing better health care services.

  • Support the enhanced role of patients and families as active partners in managing their health and choosing high quality care, by providing access to shared decision making, self-management tools, patient health data, and community resources.
  • Provide incentives (e.g., shared savings and financial rewards) for consumers and beneficiaries that choose high quality, patient-centered medical home practices.
  • Continue support for patient and family-centered research that identifies evidence-based practices to enhance patient and family experience, health system navigation, shared decision-making, and communication.

Identify effective medical home models and strategies, and accelerate their impact on cost, outcomes, and quality.

  • Continue support for research and evaluation across the public and private sector to identify critical success factors, effective payment models, and exemplar patient and family engagement strategies.
  • Develop a set of standard criteria that assesses the medical home’s impact on cost, utilization, and quality.
  • Support the dissemination of data and aggregated results that demonstrate the medical home’s impact.
  • Support alignment of quality and efficiency measures across the care continuum.
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