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.
PHIP APC Workgroup
The NYC Advanced Primary Care Planning Workgroup (“APC Planning Group”) will develop a strategic plan for expanding the adoption of Advanced Primary Care (APC) model by 80% of all primary care providers in New York City, over the next 5 years. That plan will include recommendations for:
- Increasing the APC adoption rate in communities identified as having the greatest need.
- Using public and private resources to provide practice transformation technical assistance to enable primary care providers to achieve APC.
- Adopting value-based payment methods to pay for primary care provided in those practices.
The workgroup will be engaged on the following topics related to APC expansion:
- Reviewing and approving a data-driven methodology for identifying communities and practices in highest need of APC transformation assistance.
- Providing feedback on selected target communities and practices.
- Assessing resources needed for APC transformation.
- Identifying any potential gaps in coverage or unintended consequences of APC expansion.
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