Primary Care Payment Reform

Primary Care Alternative Payment Model Measure Selection Resources                                                                           

  • The survey is live and will stay open through January 31, 2018.
  • It is important to remember measure selections are not final.  Practices will make final measure selection at the end of 2018 for the 2019 performance year. 
  • The Department will use the information provided from the survey to plan our work on APM implementation.  The survey should help practices identify which measures they are most likely to be successful on.
  • SIM and CPC+ practices do NOT have to select measures.  The survey is configured so that when a practice checks the box indicating it is a SIM and/or CPC+ practice, the survey should terminate. 
  • Federally Qualified Health Centers (FQHCs) participated in a separate Alternative Payment Methodology (APM).  If you are an FQHC, please contact Marija Weeden at  marija@cchn.org to select measures and to be connected with APM resources through your professional association.
  • The Department recommends that the practice manager, practice coordinator, office manager or whoever will be responsible for ensuring the practice makes progress on the measures (i.e. ensuring coding is correct, changing workflows if necessary, implementing quality improvement projects, etc.) should fill out the survey. 

  APM Measure Selection Resource Video Link: https://youtu.be/LboF_Pu6YE8

  Please complete the following steps:

  1. Please use this workbook to help your practice select measures:

        APM Model Workbook 

  1. Here are the questions that are in the survey:

          Survey Questions

  1. Please complete the survey to report your measure to the Department:

        APM Measure Selection Survey

 

Primary Care Payment is changing.  

The Department of Health Care Policy and Financing (Department) with input from stakeholders is developing a payment structure to make differential fee-for-service payments for primary care medical providers. This new structure is part of the Department’s delivery system payment reform efforts. The goal is to pay providers for the value of services provided and not the volume of services provided. This new payment structure gives providers greater flexibility in business practices while rewarding performance and enhancing transparency and accountability in the Medicaid delivery system.

The Department of Health Care Policy & Financing conducted two live webinars to talk about the coming Alternative Payment Model (APM). See below for previous recordings:

 

 
 

Reasonable accommodations for the meetings will be provided upon request for persons with disabilities.  Please contact HCPF_primarycarepaymentreform@hcpf.state.co.us at least one week prior to the scheduled meeting if you need special arrangements.