In 2023, the California Advanced Primary Care Initiative made significant progress toward strengthening primary care in the state.
Through a collaborative effort, Aetna, Aledade, Anthem Blue Cross, Blue Shield of California, Health Net, Oscar, UnitedHealthcare, the Purchaser Business Group on Health’s California Quality Collaborative (CQC) and the Integrated Healthcare Association (IHA) have:
- Developed a common value-based primary care model that provides prospective and performance payments, increasing total potential payment by 30%.
- Designed a demonstration project that will pilot the payment model in 30 practices with technical assistance support and a common reporting platform. The goal is to align payers to a common payment model to amplify the impact for each practice, resulting in improved patient outcomes.
- Progressed the ability to track, measure and define Advanced Primary Care through the execution of a measurement pilot, revision of an Advanced Primary Care measure set and completing an analysis showing percent of primary care spend.