Finger Lakes Health System Agency is receiving a CMS Health Care Innovation Award for a community-wide outcomes-based payment model for primary care that will serve Medicare and Medicaid beneficiaries in six counties in the Rochester, New York area. The project creates a collaborative of providers, payers, employers, government, patients, social coalitions, and community service organizations to integrate community services with primary care and leverage social and health care resources. Primary care physicians will receive technical, process, and adaptive support, and will be connected with a team of care managers, care coordinators, and community health workers. This approach will strengthen primary care and reduce avoidable hospitalizations, readmissions, and emergency room use.
