Patient Centered Primary Care Collaborative Cultivate the PCMH “What Really Matters” Edwina Rogers, Executive Director, PCPCC

PCPCC Membership and Activity Overview  National Convener on the PMCH  Legislative and Regulatory Advocacy  Develop PCMH Policy More than 700 members 54 Executive Committee Members 20 Advisory Board Members 5 Centers 7 Task Forces 3 Annual Conferences & Summits Monthly Calls (National PCMH Movement Briefings, CMD, CPPI, CCE) Bi-Weekly Calls (CEE, CeHIA) National Weekly Call (Thursday, 11AM EDT) Host Regular Webinars 2

PCMH Implementation Infrastructure Payment Reform Employer Engagement Consumer Engagement Primary Care Workforce Supply PCPCC’s Focus Areas 2010 Strategic Plan 3

PCPCC Center and Task Force Deliverables  Value Based Insurance Design Report  Payment Reform Task Force Report  PCMH Transformation Resource Guide  Medication Management Guide  Emmi Solutions PCMH Video (soon to be available in Spanish)  Pilot Activity Tracking from CMD website  Letters to Congress  Letters Regarding Meaningful Use 4

PCMH Implementation Tools- Report Release “Aligning Incentives and Systems” Promoting Synergy Between Value-Based Insurance Design and the Patient Centered Medical Home”  Makes the business value case for PCMH showing link to VBID  Case studies: Whirlpool Company, the State of Washington, the City of Battle Creek, Mich., IBM, Roy O. Martin Lumber, CIGNA, Universal American, Geisinger Health System/Health Plan, Aetna and the State of Minnesota.  Authored by the Center for Employer Engagement in partnership with the National Business Coalition on Health and the University Michigan’s Center for Value-Based Insurance Design 5

Test Drive the New PCPCC Website !  Soft Launch  Membership Webinar to be held  Major features include Master calendar listing all PCPCC events On-line and interactive Pilot Guide User portals (consumer & patients, employer & health plans, providers & clinicians, federal & state government Center portals and updates 6

Encouraging Movement White House, Senate and House Major provisions of the Health Care Reform bills relevant to Primary Care and PCMH  State option to provide health homes for enrollees with chronic conditions. Provide States the option of enrolling Medicaid beneficiaries with chronic conditions into a health home.  Pediatric Accountable Care Organization demonstration project. Establishes a demonstration project that allows qualified pediatric providers to be recognized and receive payments as Accountable Care Organizations (ACO) under Medicaid.  Establishment of Center for Medicare and Medicaid Innovation within CMS. The purpose of the Center will be to research, develop, test, and expand innovative payment and delivery arrangements to improve the quality and reduce the cost of care provided to patients in each program.  Training in family medicine, general internal medicine, general pediatrics, and physician assistantship. Provides grants to develop and operate training programs, provide financial assistance to trainees and faculty, enhance faculty development in primary care and physician assistant programs, and to establish, maintain, and improve academic units in primary care.  Expanding access to primary care services and general surgery services. Beginning in 2011, provides primary care practitioners, as well as general surgeons practicing in health professional shortage areas, with a 10 percent Medicare payment bonus for five years.  Payments to primary care physicians. Requires that Medicaid payment rates to primary care physicians for furnishing primary care services be no less than 100% of Medicare payment rates in 2013 and Other Items:  ‘Grants to Establish Community Health Teams to Support a Medical Home Model’: the Secretary of HHS would establish a grant program to creating the “community health team which is community-based, multi disciplinary, interprofessional teams (on the model of medical home) to increase access to comprehensive coordinated care.  Enhancing Health Care Workforce Education and Training -. Priority is given to programs that educate students in team-based approaches to care, including the patient-centered medical home. Authorization is set at $125 million. 7

CMS Activity and the PCMH Planned Demonstrations Medicare Medical Home Demo Status - on hold pending recent health care reform legislation Multi-Payer Advanced Primary Care Practice Demo Status - invitation to states and solicitation in clearance Federally Qualified Health Centers Advanced Primary Care Practice Demo Status - under development 8

Recognition Programs for PCMH Developed or Under Development Quality Organizations PCMH Standards Activity

CONTACT INFORMATION Visit our website – To request any additional information on the PCMH or the Patient Centered Primary Care Collaborative please contact: Edwina Rogers Patient Centered Primary Care Collaborative Executive Director (cell) The Homer Building 601 Thirteenth St., NW, Suite 400 North Washington, DC