The NYC PHIP is charged with developing a strategic plan for spreading a new form of care delivery – Advanced Primary Care (APC) – across the City’s primary care practices. The APC Workgroup will provide guidance and advice to PHIP staff in the development of the strategic plan by reviewing staff proposals and ultimately approving a strategic plan for expanding APC throughout the city’s five boroughs. Currently being defined by a state-led Integrated Care Workgroup, the APC model will build on the patient-centered medical home, and will prioritize integrating behavioral health with primary care and increasing primary care’s capacity and effectiveness in influencing population health.
NYC PHIP Advanced Primary Care Group
In 2016, the NYC PHIP Advanced Primary Care (APC) Group released a strategic plan, developed with broad stakeholder input, to expand the adoption of the medical home model of care in the NYC region. Building on that plan, the APC Group is now developing a roadmap for the adoption of the model by small primary care practices. This work will help to reduce health disparities, promote access to care, and improve primary care outcomes across NYC.
Small primary care practices comprise approximately 40% of all primary care providers throughout the City and State. Many of these small practices do not currently have the capabilities or resources to succeed in a value-based payment environment that necessitates the adoption of the medical home model of care. The APC Group is working to identify models of shared infrastructure that may enable greater numbers of small primary care practices to adopt the medical home model of care. The APC Group is convening stakeholders on an ongoing basis to capture feedback and input on the various models of shared infrastructure. Stakeholder feedback will guide the development of future reports.
This report, authored by the NYC Department of Health and Mental Hygiene and United Hospital Fund, is a roadmap of five strategies aimed to expand and improve the impact of the medical home model of primary care across New York City. The plan is intended to guide New York City’s primary care providers, as well as health plans, policymakers, and other stakeholders, in the adoption of a delivery model that improves health care quality, improves patients’ experience of care, and reduces avoidable emergency department visits and hospital admissions.
The APC Workgroup is composed of representatives from the following organizations:
- New York City Department of Health and Mental Hygiene (Co-Chair)
- United Hospital Fund (Co-Chair)
- Community Health Care Association of New York State
- Community Healthcare Network
- Emblem Health
- Empire Blue Cross Blue Shield
- GNYHA Foundation
- Institute for Family Health
- Health and Hospitals Corporation
- Maimonides Medical Center
- Medicare Rights Center
- Metro New York Health Care For All Campaign
- MetroPlus Health Plan
- Montefiore Care Management Company
- New York American College of Physicians
- New York – Presbyterian Hospital
- North East Business Group on Health
- NYS Academy of Family Physicians
- Primary Care Development Corporation
- Public Health Solutions
- Staten Island Performing Provider System
- The Children’s Hospital at Montefiore
- The Commonwealth Fund
- The Healthcare Association of New York State
- Weill Cornell Medical College