PYA Covid-19 Information Hub

Reinventing Primary Care

Known by many names – patient-centered medical home (PCMH), practice transformation, health home, direct primary care (DPC) –  Provider Practice Innovation means re-inventing primary care to serve as a foundation for population health management.

With programs like the Merit-Based Incentive Payment System (MIPS), the Medicare Shared Savings Program, and Comprehensive Primary Care Plus (CPC+), Medicare is championing Provider Practice Innovation.  Now, commercial payers and employers are doing the same, with many looking forward to full-risk primary care payments.

Primary care providers committed to practice innovation report higher levels of professional satisfaction, released from the tyranny of the eight-minute office visit.  Patients under the care of these providers report better access to care and more personalized attention, and early results show improved outcomes.[1]

Helping Providers and Payers

With experience and expertise in provider practice innovation initiatives, PYA can help providers realize these opportunities:

  • Create and manage transformation transition plans
  • Provide one-on-one coaching
  • Deploy necessary infrastructure (staffing, technology)
  • Develop marketing strategies
  • Evaluate success (quality improvement, cost reduction, patient and provider satisfaction)

PYA can assist payers and employers in designing incentives for provider practice innovation, resulting in smarter spending on healthcare:

  • Identify and evaluate market opportunities
  • Define and design specific incentive structures (e.g., PCMH payments, DPC scope of services)
  • Develop performance metrics

For more information about provider practice innovation, contact one of our executives below, (800) 270-9629.

[1]  See P. Eskew and K. Klink, Direct Primary Care:  Practice Distribution and Costs, Journal of the American Board of Family Medicine (Nov./Dec. 2015).