Primary Care Collaborative

A strategic priority for the Ohio Department of Health (ODH) is to increase the expansion of the Patient-Centered Medical Home (PCMH) throughout Ohio. The ODH is leading a statewide expansion of the PCMH in order to 1) control costs and ensure healthcare in Ohio is affordable, 2) improve health outcomes and 3) enhance the patient experience. The Patient Centered Medical Home Education Pilot Project was authorized by HB 198 of the 128th Ohio General Assembly. ODH’s first major step in implementing this pilot program was the establishment of the Ohio Patient-Centered Primary Care Collaborative (OPCPCC). The OPCPCC is a coalition of primary care providers, insurers, employers, consumer advocates, government officials and public health professionals who came together to support a more effective and efficient model of healthcare delivery in Ohio. Care in a PCMH is foundational to all of Ohio's health improvement initiatives including the Comprehensive Primary Care (CPC) initiative, State Innovation grant, dual eligibles program, and health homes program.

Primary Care Innovations and PCMH Activity

Dual Eligible	2703 SPA	CPC	CPC+	PCMH QHP	PCMH Legislation	Private Payer

Multi-Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program	Outcomes
Ohio & Kentucky Comprehensive Primary Care Initiative	Multi-Payer	Cincinnati-Dayton Region	CMS Comprehensive Primary Care Initiative
Ohio & Northern Kentucky Comprehensive Primary Care Plus	Multi-Payer	Statewide	CMS Comprehensive Primary Care Plus (CPC+)

Public Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program
CMS State Innovation Model (SIM) Test Award - Ohio	Grant	Statewide	CMS State Innovation Model (SIM)
Coordinating All Resources Effectively (CARE) - Ohio	Grant	California, Colorado, Florida, Missouri, Pennsylvania, Texas, Ohio	CMS Health Care Innovation Award (Round 2)
Integrated Care Delivery System (ICDS)- Ohio	Medicare, Medicaid	29 counties in 7 regions	CMS Dual Eligible Demonstration
Ohio Health Care Collaborative - AF4Q	Grant	Cincinnati area	Aligning Forces for Quality
Ohio PCMH Education Pilot Project	Grant	Statewide
Pediatric Ambulatory Care Program - Rainbow Babies and Children's Hospital	Grant	Northeast Ohio	CMS Health Care Innovation Award (Round 1)

Private Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program
Cigna Collaborative Accountable Care Program - Mount Carmel Health Partners	Commercial	Columbus area	Cigna Collaborative Care Program
Cigna Collaborative Accountable Care Program - Central Ohio Primary Care Physicians	Commercial	Central Ohio	Cigna Collaborative Care Program
Cigna Collaborative Accountable Care Program - Cleveland Clinic	Commercial	Cleveland area	Cigna Collaborative Care Program
Cigna Collaborative Accountable Care Program - University Hospitals	Commercial	Cleveland area	Cigna Collaborative Care Program
Enhanced Personal Health Care Program - Ohio	Commercial	Statewide	Anthem - Enhanced Personal Health Care
Humana medical home program - Central Ohio Primary Care	Commercial	Westerville	Humana Medical Home Program
Humana medical home program - Cleveland Clinic	Commercial	Independence	Humana Medical Home Program
Humana medical home program - Providence Medical Group	Commercial	Bellbrook	Humana Medical Home Program
UnitedHealthcare Patient-Centered Medical Home Program- Ohio	Commercial		UnitedHealthcare PCMH Program