CDPHP Invests $1M in Primary Care

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Funding Will Support 21 Area Physician Practices Transform the Delivery of Care while Achieving Meaningful Use Criteria

While CDPHP has long been a proponent of health information technology, as well as the quality and cost benefits it offers the health care industry, we are also fully aware of the challenges and obstacles the industry still must overcome

In a continued commitment to promote the exchange and use of information within the health care industry while enhancing the quality of care, CDPHP announces a $1M investment in 21 area primary care and pediatric practices to participate in the second phase of the Plan’s medical home initiative. The practices which were chosen by the plan will use this aid to transform their deliver of care and work towards achieving meaningful use criteria. The pledge comes on the heels of the Health and Human Services (HHS) announcement specifying what physicians and hospitals will have to do to receive a share of up to $27 billion in Medicare incentives for the adoption of electronic health records and other IT initiatives over the next ten years.

“While CDPHP has long been a proponent of health information technology, as well as the quality and cost benefits it offers the health care industry, we are also fully aware of the challenges and obstacles the industry still must overcome,” said John D. Bennett, MD, president and CEO, CDPHP. “We hope this investment will help physicians tackle those obstacles and bring them one step closer to achieving meaningful use as defined by health care reform.”

Since 2008, CDPHP has been working with area physicians to adopt a primary care model known as the medical home designed to achieve improvements in the quality and efficiency of health care by transforming the way primary care is practiced and reimbursed. The original pilot participants include Community Care-Latham Medical Group, Community Care-Schodack, and CapitalCare-Clifton Park Family Practice. These practices are nearing the completion of a 30-month transformation effort, working closely with TransforMED Consulting (a subsidiary of the American Academy of Family Practice) and CDPHP.

CDPHP Medical Home: Phase II
This month, CDPHP and 21 new practices commenced the second phase of a medical home initiative capable of reaching nearly 52K of its members and encompassing more than 160 of its network physicians. Phase II participants include:

  •     Albany Family Practice Group
  •     Braverman–Panza Medical Group
  •     Brunswick Family Practice
  •     CapitalCare Family Practice Charlton
  •     CapitalCare Family Practice Guilderland
  •     CapitalCare Internal Medicine Nott Street
  •     CapitalCare Family Practice Ravena
  •     CapitalCare Family Medicine Averill Park
  •     CapitalCare Slingerlands
  •     Clifton Park Family Medicine
  •     Community Care Family Medicine
  •     Cohoes Family Care
  •     Ellis Family Health Center
  •     Four Seasons Pediatrics
  •     Internal Medicine Group (AMC)
  •     Irongate Family Practice Associates
  •     Saratoga Family Practice
  •     Scotia-Glenville Family Medicine
  •     Shaker Pediatrics
  •     Troy Family Physicians
  •     Whitney M. Young Health Centers

Practice selection for both phases was based on demonstration of leadership at the practice level, stable practice culture, volume of served CDPHP members, use of IT (EMR/ e-prescribing) and an overall willingness by practice leadership to participate and openly collaborate with CDPHP.

The monetary investment will help phase II participants in achieving PCMH level III certification by providing facilitated support via TransforMED Consulting, Inc., the integration of CDPHP resources (case management, pharmacy, behavioral health, and data analytics) where appropriate, and stipends to cover start-up costs. Those practices earning Level III certification and have been active participants in the CDPHP-sponsored transformation process, will be eligible to participate in an innovative payment model commencing in the fall of 2011. The move to the new payment model will be contingent upon outcomes of the pilot evaluation.

According to Bruce Nash, MD, MBA, CDPHP senior vice president and chief medical officer, who has overseen this initiative since its inception, “The ultimate vision for this program is to create an innovative and sustainable model for the reimbursement of primary care physicians, leading to a resurgence of interest in primary care medicine as a career. We also hope to demonstrate a transformation of primary care that enhances the quality and value of the services delivered. With phase II underway, we believe we are on the right path.”

About CDPHP®
Founded in 1984 as a physician-founded and guided health plan, CDPHP and its affiliates currently serve members in 24 counties throughout New York with a full family of products. In U.S. News & World Report/NCQA America’s Best Health Insurance Plans 2009-10*, CDPHP garnered the three highest-rated commercial plan rankings in New York state, as well as being rated among the top ten health plans in the nation for its Medicare and Medicaid programs. Visit CDPHP.

*”America’s Best Health Insurance Plans” is a trademark of U.S. News & World Report.

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Kristin C. Marshall
CDPHP
(518) 641-5031
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