Health Affairs March 30, 2020
JP Sharp, Leslie McKinney, Scott Heiser, Rahul Rajkumar

A major trend in delivery system transformation is the explosion in Medicare and Medicaid of what we call “advanced primary care,” which comprises a high-touch care model focused on team-based care, smaller panel sizes, modification of clinical workflows to incorporate data insights, and the assumption of substantial two-sided risk.

Advanced primary care organizations, which began operating in the 1980s, have demonstrated tremendous success in managing high-risk patient populations in Medicare Advantage (MA). In the past 10 years, the successes of early pioneers have inspired a crop of new advanced primary care organizations that have grown rapidly with the backing of private health plans and venture capital investments. This trend could help spread a person-centered model designed to provide easily accessible...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Payment Models, Physician, Primary care, Provider, Value Based
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