Month in Review: Payment Reform Madness. Plus National Briefing Today!

Payment Reform Madness
Thursday, March 26th
Dear Members and Friends, 

March has been an incredible month for the movement toward more comprehensive health care payment reform. In addition to the insightful and inspiring conversations at the National Medical Home Summit in Philadelphia this week, a flurry of payment reform activity is happening in DC. 

With physicians facing a 21.2 percent cut in payments beginning April 1, the health care community has been on the edge of their seats, waiting to see if Congress will finally take action today to repeal and replace the Sustainable Growth Rate (SGR) with a fair and sustainable payment system that rewards value over volume. The draft bill represents a huge step forward and we are pleased to see the legislation recognize the patient-centered medical home as an approved care delivery model. After 17 patches in twelve years, it is time to repeal SGR, and we urge Congress to pass this bill today.

Yesterday I attended the White House launch of the Heath Care Payment Learning and Action Network which is a public and private partnership intended to support value-based payment reform. The Network was originally announced in January when the Centers for Medicare & Medicaid (CMS) set a goal of tying 30 percent of traditional Medicare payments (based on fee-for-service) to quality or value through alternative payment models by 2016 and 50 percent by 2018. We look forward to continuing to work with HHS and the White House to build a stronger health care system. 

Finally, we also had the opportunity to provide comments to the CMS on advanced primary care payment models. We appreciate the many stakeholders who helped us craft our response regarding the need to increase support for primary care that promotes value for patients, providers, and payers by tying payment reform to practice readiness for adopting advanced primary care features.
Great teamwork! 


Marci Nielsen, PhD, MPH
Chief Executive Officer
National Briefing Today!
Critically important to making payment reform work is having interoperable health information technology that supports patient-centered care instead of fee-for-service billing. To help describe the current and future state of HIT, we will be hearing from Jeff Coughlin from Healthcare Information and Management Systems Society (HIMSS).
HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation
TODAY March 26 at 1 p.m. EST
Register (for free!) here
Top 5 Must Reads
View additional PCMH-related news articles and peer-reviewed studies from March on our website at
New Podcast Series:
Stories from the Nexus 
Today, the National Center and Primary Care Collaborative (PCPCC) released the first chapter in a five-part podcast series based on the PCPCC publication “Progress and Promise: Profiles in Interprofessional Health Training to Deliver Patient-Centered Primary Care,” which explored advanced primary care practices in exemplary interprofessional education teaching programs.

Each Thursday from March 26 – April 23, a new podcast in the PCPCC series will be released on the National Center and PCPCC websites. Following a Q&A format, each chapter provides a deep-dive into three of the seven programs highlighted in “Progress and Promise” by sharing the program's experiences, opportunities and challenges in building and maintaining an interprofessional program. 

Listen to Episode One now! 
Welcome New PCPCC Executive Members!

Third Way is a centrist think tank that offers fresh thinking and modern solutions to the most challenging problems in U.S. public policy.

PCC creates pediatric software solutions for independent pediatricians to deliver superior patient care while achieving their financial practice goals. We provide the administrative and clinical workflow tools you need to run a smarter practice.
2015 CAPG Healthcare Conference

Accountable Care: Accelerating the Evolution
June 11 - 14, San Diego, CA, Grand Hyatt
This year, the PCPCC is delighted to co-host a preconference session at CAPG's 2015 Healthcare Conference. PCPCC's preconference session, Primary Care Innovation and the Patient-Centered Medical Home, will present innovative primary care strategies organizations are using to improve population health and strengthen patient and community partnerships. The preconference will take place on June 11 from 1 - 4:30 p.m. PT.
Learn more and register for the conference here.

Upcoming Events
April 1 - April 30
PCPCC Webinar: Collaboration and Practice Transformation in Residency Education
April 6 | PCPCC and Primary Care Progress

Developing Faculty to Improve Quality of Care
April 7 | American Interprofessional Health Collaborative

The Medical Team Summit at the 2015 National Council Conference
April 20 - 22 | The National Council for Behavioral Health

PCPCC Webinar: Technology's Role in Positive Health Behavior Change
April 23: PCPCC and Ayogo

8th Geneva Conference on Person Centered Medicine
April 26 - 29 | Geneva University Hospital and the World Health Organization

2015 CAPG Healthcare Conference
Accountable Care: Accelerating the Evolution
June 11 - 14 | San Diego, CA, Grand Hyatt

PCPCC 2015 Annual Fall Conference
Investing in Primary Care: Patients, Professionals, & Payment
Nov. 11 - 13  l  Washington, DC, Grand Hyatt Washington

For additional events, click here.
PCPCC Comments to CMS on Advanced Primary Care Models
On March 16, the PCPCC submitted comments to the Centers for Medicare & Medicaid Services' request for information on advanced primary care models. In the comments, the PCPCC advocates for the transition from volume-driven fee-for-service payment to more value-oriented payment models in primary care linked to quality and efficiency.

Read our comments here
Collaboration and Practice Transformation in Residency Education 
Join the Primary Care Collaborative and Primary Care Progress on April 6 at 8 p.m. EST for a webinar on the importance of practice transformation in residency training.

The panelists will discuss how residency program collaboratives are preparing residents for future models of care delivery including patient-centered medical homes and accountable care organizations.

These collaboratives have unique goals and objectives, but are generally sharing best practices, collecting data and outcomes on new training models, coordinating learning sessions, and supporting each other through the development of new curricula for primary care residents.

See the speaker lineup and register today.
ICYMI: 7th National Medical Home Summit
On March 23 - 25, the 7th National Medical Home Summit took place in Philadelphia. We heard from leading authorities and practitioners in the medical home field from around the country. Attendees can view and download presentations from the event here!
Recently Released
Reports and Studies
Make Health Care More Convenient and Coordinated with Medical Homes | The Third Way

Healthcare and the 114th Congress: A Dynamic Guide to the Top Issues Affecting Internal Medicine Specialists and Their Patients | ACP

Emergency Department and Inpatient Hospital Use by Medicare Beneficiaries in Patient-Centered Medical Homes | Annals of Emergency Medicine, An International Journal
PCPCC on the Road
PCPCC President, Paul Grundy, MD, MPH, has a busy month ahead. He will travel to: Minneapolis to attend the National Center for Interprofessional Education Advisory Council meeting; to Chicago to give the opening keynote at the HIMSS15 Clinical & Business Intelligence Symposium; to Montana to give the keynote address at the Montana Medical Group Management Association annual conference and meet with other stakeholders; and to Indianapolis to give the keynote address at the Anthem Enhanced Personal Health Care Program. Follow Paul @Paul_PCPCC to stay in touch!

PCPCC CEO Marci Nielsen, PhD, MPH will kick off the month facilitating a session at the Brookings ACO Learning Network Member Workshop: Opportunities and Challenges.  Next she'll head to Chicago to attend ASAE's Symposium for Chief Elected and Chief Executive Officers with our Board Chair Doug Henley, executive vice president and CEO of the AAFP and PCPCC COO Amy Gibson. She'll conclude the month at the Interprofessional Education Summit in Minnesota to meet with stakeholders at the University of Minnesota. Follow Marci on Twitter @Marci_PCPCC to stay in touch!

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