Primary Care Transformation
Primary care is the foundation of our health care system. Evidence shows greater use of primary care is associated with lower costs, higher patient satisfaction, fewer hospitalizations and emergency department visits, and lower mortality. Learn about HCA's efforts to transform primary care in Washington.
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The Washington Multi-Payer Collaborative (MPC) is a group of payers working to build collective approaches to supporting patients and providers that will yield greater results than independent action, with a focus on the transformation of primary care delivery and payment.
The current MPC focus is primary care, recognizing:
- The importance of primary care in improving outcomes, and
- The opportunity to improve access to high-quality comprehensive primary care.
Making Care Primary (MCP), the new primary care model for Medicare beneficiaries from the Centers for Medicare & Medicaid Services (CMS), launches in July 2024. Applications open September 2023. Practices must apply by November 30 to participate in this model. The MPC will work to align existing primary care transformation efforts in Washington State to the CMS model.
The PCTM aims to strengthen and support primary care through aligned payment methodologies and care delivery transformation. The purpose of Washington’s primary care transformation efforts is to create better health and better care for patients, promote smarter spending, and improve clinical experience for providers.
The overarching goal of Washington’s health care transformation efforts is to achieve the quadruple aim of enhancing patient experience, improving population health (i.e., health outcomes), reducing costs, and improving the work life of health care providers, including clinicians and staff. We aim to:
- Promote and incentivize integrated, whole-person and team-based care. This includes primary physical and behavioral health care services for acute, chronic, and preventive needs.
- Improve primary care provider capacity and access.
- Increase investment in a transformed primary care system while better managing total cost of care over time.
- Align payment incentives as well as quality metrics across payers and providers.
- Work with interested public and private employers to spread and scale the model throughout Washington State.
The MPC’s first learning cohort of primary care practice representatives will work with the payers to identify collaborative, aligned strategies to support the delivery of coordinated, team-based care through the PCTM.
The learning cohort is an avenue for providers to shape where payers align their efforts to create primary care provider supports. Participating practices will also share advice and lessons learned with other practices and plans engaged in the PCTM and/or the federal Making Care Primary model. The learning cohort will meet periodically from fall 2023 through spring 2024 strategies identified through the learning cohort will be implemented in 2024.
|Topic, date, and time||Details and materials|
- Making Care Primary application user manual
- Making Care Primary model example revenues fact sheet
- Signed Multi-payer Primary Care Transformation Model memorandum of understanding (MOU)
- Purchaser Primary Care Transformation support letter (January 26, 2021)
- Multi-payer Primary Care Transformation Model description (January 27, 2022)