A First Evaluation
This past week, the Centers for Medicare & Medicaid Services (CMS) released findings from the Comprehensive Primary Care Initiative. This initiative is a unique multi-payer partnership between Medicaid private health care payers, Medicare, and primary care practices in four states (Arkansas, Colorado, New Jersey and Oregon [where I reside]) and three regions (New York’s Capital District and Hudson Valley, Ohio and Kentucky’s Cincinnati-Dayton region, and Oklahoma’s Greater Tulsa region).
The initiative provides care management for those at greatest risk, improves access to health care, coordinates care with specialists and hospitals, tracks patient experience, and uses health information technology to support population health. Practices receive non-visit-based care management fees from the participating payers, and the chance to share in savings.
During the first year, over 2.5 million patients, including 345,000 Medicare beneficiaries, received care from 492 practices. Hospital admissions were decreased by 2% and emergency department visits were reduced by 3%. Additionally, over 90% of practices successfully met all first-year transformation requirements.
Although CMS states that first-year results should be interpreted cautiously, the Patient-Centered Primary Care Collaborative, says, “[o]verall, the findings represent a positive step forward for the long-term success of advanced primary care, and for the many patients who will continue to receive improved quality and coordination of care through this initiative.” As a practice consultant, I applaud all initiatives that will increase health care access and wellness. InnovaHealth Innovations provides consulting services to medical practices to help them be successful in today’s complex healthcare environment. You can reach IHI at: 503.341.0593.