The Commercial Market: Alternative Payment Models for Primary Care

Leading edge employers and health plans are investing in innovative, whole-person primary care models for employees and their families. The pandemic forced changes as work and care went virtual, demand for behavioral health services increased, and routine preventive care and chronic care were sidelined. Watch PCC's May 2023 webinar to hear innovative practices, employers, and health plans discuss what it takes to build and sustain advanced primary care. We are joined by Aetna, Crossover Health, Morgan Health, and Blue Shield of California.

Background Resources

  • Who is Morgan Health?
  • Overcoming obstacles to accountable care, by Dan Mendelson.
  • Crossover Health, Aetna pilot primary care service for Seattle employers with a fixed-fee payment model.
  • The California Advanced Primary Care Initiative is spearheaded by PBGH's California Quality Collaborative. A coalition of commercial payers is working together to enable primary care practices to transform to a high-performing, value-based model that reduces costs and improves quality and equity. 
  • Engaging Primary Care in Value-Based Payment: New Findings from the 2022 Commonwealth Fund Survey of Primary Care Physicians
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