CDPHP Engages Local Doctors in Health Care Reform

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Local physicians are taking part in a national effort to reform the field of primary care.

“The work being done today to reform the field of primary care will shape the future of health care for entire country," said Bruce Nash, MD, chief medical officer at CDPHP.

History is being made in the Capital Region where a number of local physician offices have begun the process of practice transformation and payment reform.

75 primary care primary care practices from the Capital Region and Hudson Valley were selected by the Centers for Medicare and Medicaid Services (CMS) to participate in the Comprehensive Primary Care (CPC) initiative, a public-private partnership to improve the quality and efficiency of health care.

CDPHP is currently contracted with 48 of the 75 practices selected to participate in the CPC initiative.

On April 1, 2013, CDPHP expects all 48 contracted practices will be fully engaged in the process of practice transformation, allowing local doctors to spend more time with their sickest patients.

“The Capital Region and Hudson Valley are knee-deep in health care reform,” said Bruce Nash, MD, chief medical officer for CDPHP. “The work being done today to reform the field of primary care will shape the future of health care for entire country. This partnership will allow CDPHP to harness the data we need to improve the quality of care and control costs for the members we serve,” added Nash.

The CPC plan features enhanced compensation for participating physicians ($20 per Medicare member, per month), who are then provided with the resources they need to provide better, more coordinated care for their Medicare patients.

The CPC plan is playing out alongside CDPHP’s Enhanced Primary Care (EPC) initiative, a patient-centered medical home model which also offers financial incentives for primary care physicians to practice at a higher level and control health care costs.

An independent analysis of the EPC program produced the following impressive results:
•15% reduction in inpatient admissions.
•9% reduction in emergency room visits.
•$8 per member per month savings.

The Commonwealth Fund has provided grant funding to Brigham and Women’s University to conduct a more expansive study on the EPC initiative. Results are expected later this year.

For more information or to speak to Dr. Bruce Nash, please contact Ali Skinner at (518) 605-4497.

About CDPHP®
Established in 1984, CDPHP is a physician-founded, member-focused and community-based not-for-profit health plan that offers high-quality affordable health insurance plans to members in 24 counties throughout New York. CDPHP is also on Facebook, Twitter, and LinkedIn.


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Ali Skinner
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