July Month in Review: Annual Primary Care Evidence Report Released

Thursday, July 27

Dear Colleagues and Friends,

Earlier this month, we released our annual evidence report that examines the impact of primary care practice transformation on cost, quality, and utilization. While not every study examined was unilaterally positive, the overall finding is that advanced primary care is making a difference.

More specifically, the report authors conclude that “overall, analysis of the studies revealed that the longer a practice had been transformed, and the higher the risk of the patient pool in terms of co-morbid conditions, the more significant the positive effect of practice transformation, especially in terms of cost savings.”

It’s encouraging news that advanced primary care accrues cost savings over time and that quality is mixed or positive, but an aspect that the report does not examine is the under-investment in primary care in the United States as compared to other industrial countries. The U.S. allocates, on average, 5-7% of its health care spending to primary care, while healthcare systems across the pond invest 12-14%, or twice as much in primary care.

Some states have rightfully identified this as an issue and have begun using regulatory or legislative strategies to bolster primary care spending. For example, Rhode Island’s Insurance Commissioner used his regulatory authority to boost health plan primary care spending as a percentage of medical spending from approximately 5% in 2008 to between 8-11% in 2014. During this time period, overall health spending in Rhode Island grew slower than in any other New England state.

And just this month, Oregon passed Senate Bill 934, which requires the “coordinated care organization, Public Employees’ Benefit Board and Oregon Educators Benefit Board to spend at least 12% of total medical expenditures on primary care by January 1, 2023.”  Per this legislation, the additional spending on primary care must be directed to designing or implementing advanced payment models and providing integrated person-centered care and services.

The PCPCC supports both the transformation of primary care and efforts to direct more resources to primary care practices.  Both of these themes will be taken up by speakers at our annual conference on October 11-12 in Washington, D.C. 
I look forward to seeing you there this fall!

Ann Greiner, MCP
President & CEO

New Evidence Report Available

Annual Report Examines Impact of Primary Care Practice Transformation on Cost, Quality & Utilization

PCPCC recently unveiled our highly anticipated annual advanced primary care and patient-centered medical home (PCMH) evidence report live at a bipartisan Capitol Hill briefing in Washington, DC.

Read the press release
Read the report

Please join us for our free webinar on August 16, providing a perfect opportunity for interested parties to learn more about the report, its findings, and the implications for primary care. 

News of Note
Standardizing the Measurement of Commercial Health Plan Primary Care Spending 
Milbank Memorial Fund | 07/25/17

Broader Look Shows How PCMH Touches Practices, Patients 
AAFP | 6/25/17

IHI Framework for Improving Joy in Work 
Institute for Healthcare Improvement | 07/24/17

Number of Actively Licensed Physicians Increased 12% Since 2010
Healthcare Dive | 07/24/17

Centralized Patient-Centered Medical Home May Reduce Burden on Practices
Healio | 07/21/17

Designing Care Models to Treat High-Need, High-Cost Patients
RevCycle Intelligence | 07/12/17

More than Half of Doctors are Not Completely Ready for MACRA
Healio | 06/30/17

How Urgent Care Centers Can Complement Medical Group Services
Healthcare Leaders | 06/29/17

How to Be An Effective Patient & Family Advisor (PCPCC Resource)
PCPCC | June 2017

View additional primary care-related news articles and studies from May on our website at pcpcc.org/news.
Practice Transformation Corner

PCPCC Support & Alignment Network: Improving Pediatric Asthma Care 
PCPCC’s CMS-funded cooperative agreement is hosting an Asthma Person and Family Engagement (PPFE) Learning Network to help clinicians improve asthma care through more effective patient and family engagement. 

The Learning Network, led by pediatric quality improvement expert, Ruth Gubernick, PhD, is hosting five monthly calls to examine engagement strategies to improve pediatric asthma care and reduce emergency visits for asthma.

Each call showcases a pediatric clinical practice that has improved asthma care quality. Participants come away with specific ideas for using person and family engagement strategies – such as shared-decision making, health literacy assessment and collaborative medication management - to improve patient activation and asthma care quality.

PCPCC’s Asthma Learning Network highlights strategies, tools, and resources, and aligns with PCPCC’s work as part of the CMS Transforming Clinical Practice Initiative. Visit our Asthma Learning Network website to register for the remaining calls or to listen to the recorded sessions at your own pace. Links to key resources are also available.

Contact Liza Greenberg, PCPCC SAN Project Director, for more information!

Register Now for PCPCC's Annual Conference
on Primary Care
Registration is open for our Annual Fall Conference, Primary Care Innovations: Putting Shared Principles into Practice.
Join speakers Dave Hebert, Chief Executive Officer, American Association of Nurse Practitoners; Guy Mansueto, Vice President of Portfolio Marketing, Watson Health - IBM; Sandra Ryan, Vice President, Walmart Care Clinics; Sonia Sarkar, Chief Policy and Engagement Officer, Baltimore City Health Department; and many more to learn more about the current and future state of primary care.
Sign on to the Shared Principles of Primary Care 
Multiple organizations in the primary care field came together to create the updated Shared Principles of Primary Care, with the goal of moving the United States toward a vibrant future of person-centered, team-based, and community aligned primary care. We hope your organization will join the nearly 100 organizations that have shown their support and sign on by September 2 to help support the future of primary care. Supporting organizations will be recognized at our annual fall conference in October.

Upcoming Events

August - October
Webinar: Overview of the Proposed 2018 Medicare Physician Fee Schedule Rule
August 3 | hosted by NAACOS

Webinar: PCPCC Executive Member Policy and Advocacy Call
August 8 | hosted by the Primary Care Collaborative

Webinar: Evidence Report - Impact of Primary Care Transformation on Cost, Quality, & Utilization
August 16 | hosted by the Primary Care Collaborative

Webinar: Improving Patient Outcomes through Quality Improvement: Using Data and Discussion to Drive Improvement

September 19 | hosted by the American College of Physicians

Conference: Alliance for Continuing Education in the Health Professions Quality and Innovation Summit

Sept. 25-27 | hosted by the Alliance for Continuing Education in the Health Professions

Webinar: PCPCC Executive Member Monthly Briefing
September 26 | hosted by the Primary Care Collaborative

Forum: Public Policy and Financial Leadership
Sept. 27-28 | hosted by Home Based Care Events/Visiting Nurse Association of America

Conference: NAACOS Fall 2017 Conference
Oct 4-6 | hosted by NAACOS

Conference: PCPCC Annual Conference - Innovations in Primary Care: Putting Shared Principles into Practice
Oct. 11-12 | hosted by the Primary Care Collaborative

Webinar: PCPCC Executive Member Monthly Briefing
Oct. 31 | hosted by the Primary Care Collaborative
For additional events, click here.

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