Payment Reform in June - More Updates from our Stakeholders Centers!

June is for Payment Reform!
Stakeholder Center Update - June 2013

Dear Center Leadership and Members:

This month will be heavily focused on payment reform as it relates to patient-centered medical homes and the medical neighborhood. We'll be featuring news, resources, and presentations by payment reform experts to keep you informed about current happenings in the health care marketplace.

Mark your calendar for our Monthly National Briefing on June 27th, 11AM - Noon ET! The call will include a special presentation from our Stakeholder Centers about their upcoming projects in 2013, including publications, events, and policy initiatives that you voted on during our Town Hall back in February. We will also be presenting PCPCC's recently Board-approved strategic plan. Dr. Kavita Patel from The Brookings Institution will lead a discussion on payment reform recommendations included in the National Commission for Physician Payment Reform's recent report.

Read more below to learn about our recent center achievements and activities, as well as upcoming learning opportunities, events, and resources!

Sincerely,

Tara Hacker
Director of Programs

Activities and Achievements

ACO Case Study: Payment Reform Meets Care Delivery Reform
We are excited to bring to you the second Innovation Profile in our population health management series. This paper features Bon Secours Virginia Medical Group and their innovative use of population health management in an Accountable Care Organization. Learn more here.

Consumer Reports: A Doctor's Office That's All About You
We encourage all of you to check out the June issue of Consumer Reports, which provides a seminal piece on the consumer experience in a patient-centered medical home -- a perfect way to explain the medical home to the general public. We are delighted that the article also featured PCPCC leadership, including Christine Bechtel, Co-Chair of our Patients, Families, & Consumers Center, and Dr. Bill Warning, Co-Chair of our Education & Training Task Force. Read more here.

Coming Soon! Public Comment Letter for NCQA's 2014 Medical Home Standards
The Patients, Families & Consumers Center is working to draft a letter to submit for NCQA's public open comment period, June 3 - July 8, with updates to its 2011 Patient-Centered Medical Home standards. Stay tuned to learn more in July.

Resources & Learning Opportunities

CareFirst Patient-Centered Medical Home Saved $40M
CareFirst Blue Cross Blue Shield has saved $40 million in its program's first year by reducing hospital admissions and ER visits by its chronically ill patients.

Change Agents in Action: Lessons Learned from Leading Primary Care Practice Facilitation Programs
Hosted by our Outcomes & Evaluation Center, last week's webinar featured AHRQ's guide on developing and running primary care practice facilitation programs along with lessons learned from the field.

Natural History of Practice Transformation: Development and Initial Testing of an Outcomes-Based Model
In this May 2013 Annals of Family Medicine article, researchers investigated an outcomes-based model of how practices moved through practice transformation.

Health Reform Implementation Library
Access State Refor(u)m's resources on health plans that may qualify for participation in your Health Insurance Marketplace.

Care Coordination: If We Don't Measure It, Does It Exist?
The National Academy for State Health Policy's released their latest blog about how care coordination must be evaluated and measured.

In Search of Joy in Practice: Innovations from 23 High-Performing Primary Care Practices
Friday, June 28, Noon - 1:30PM ET
This webinar will feature Drs. Christine and Tom Sinsky, authors of a recent Annals of Family Medicine study that identifies practical solutions for improving physician work-life satisfaction, attracting future physicians into the field of primary care, and improving the quality of patient care.

Medical Home Transformation in Pediatric Primary Care - What Drives Change?
Annals of Family Medicine, May 2013.
Researchers evaluated 12 high-performing pediatric primary care practice teams that participated in a national medical home learning collaborative.

Helping Consumers Understand and Use Health Insurance in 2014
In this recently released Institute of Medicine resource, consumers and their advocates are presented with basic information for better understanding their health insurance options.

Aetna Launches PCMH Program in New York
Aetna launches a NY-based medical home program that will serve 880,000 members through a network of 200+ physicians statewide.

WellCare Health Plans to Incentivize PCMH Model
WellCare Health recently announced it will offer enhanced payments for medical home recognition and expanded services for its Georgia Medicaid provider network.

PCPCC Events