Equitable access to high-quality primary care is the foundation of a high-functioning healthcare system, improving patient outcomes and experience and lowering costs. That’s why IHA, the Purchaser Business Group on Health’s California Quality Collaborative (CQC), and other stakeholders have been working to strengthen primary care across the state.
In January 2022, four large healthcare purchasers joined together with IHA, CQC, and participating health plans to test practice-level performance measures through the Advanced Primary Care Measurement Pilot. A new CQC and IHA issue brief highlights the findings from the pilot.
In the pilot, IHA’s dataset was used to identify over 10,000 primary care practices and generate results at the practice level on the Advanced Primary Care Measure Set. The measure set includes clinical quality, healthcare utilization, and total cost of care measures.
The measurement pilot uncovered several needs for the California healthcare system, all of which can be addressed through partnerships between payers, purchasers, providers, and data exchange organizations:
- Expansion of clinical data exchange through enhanced reporting capabilities and payer/purchaser collaborative efforts to reduce administrative hassles for providers. The California Advanced Primary Care Initiative is an example of multi-payer alignment at work.
- Comprehensive views of practice-level performance for providers to facilitate meaningful point-of-care insights for improving care quality and reducing health disparities. Interoperability of systems, standard data specifications and alignment of formats can facilitate bringing data together effectively.
- Improved performance in population health management through practice-level data visibility, focusing on critical primary care quality indicators like blood pressure control, depression screening, and childhood immunizations.
- Additional resources for primary care practices to enhance quality of care, including shared tools, technical assistance, and team support.
The issue brief concluded with steps for keeping the momentum going for ‘advanced primary care’ in California. Those steps include updating the Advanced Primary Care Measure Set annually to ensure alignment with industry priorities and other measure sets. In addition, health plan participants in the California Advanced Primary Care Initiative are launching a payment model demonstration project that will include incentive payments to practices based on performance on the measure set.
IHA and CQC held a webinar on Dec. 7 to share the pilot results, get reactions from a stakeholder panel, and explore next steps for the California healthcare system. If you missed the live event, you can catch the replay.