Primary Care Payment Reform Collaborative

Next meeting

Oregon is required by statute (Chapter 575 Oregon Laws) to convene a Primary Care Payment Reform Collaborative to advise and assist in implementing a Primary Care Transformation Initiative. The purpose of the initiative is to develop and share best practices in technical assistance and methods of reimbursement that direct greater health care resources and investments toward supporting and facilitating health care innovation and care improvement in primary care. Senate Bill 934 (2017) states the initiative should:

• Increase investment in primary care (without increasing costs to consumers or increasing the total cost of health care);
• Improve reimbursement methods, including by investing in the social determinants of health; and
• Align primary care reimbursement by purchasers of care.

To achieve the implementation of this initiative, the collaborative will support the:

• Use of value-based payment methods;
• Provision of technical assistance to clinics and payers in implementing the initiative;
  
• Aggregation of data across payers and providers;
• Alignment of metrics, in concert with work of the Health Plan Quality Metrics Committee established in ORS 413.017; and
• Facilitation of the integration of primary care behavioral and physical health care.
  

See collaborative roster.

Contact: Summer Boslaugh (503-753-9688) or Amy Harris (971-344-0845).

2024 meetings

2023 meetings

Recommendations, reports and references

• PCPRC Primary Care VBP Model: Summary / Full Model 
  
• Oregon's Primary Care Transformation Initiative: 2023 progress report
  
• Oregon's Primary Care Transformation Initiative: 2022 progress report
  
• Oregon's Primary Care Transformation Initiative: 2021 progress report
  
• Oregon's Primary Care Transformation Initiative: 2020 progress report
  
• Charter 
• SB231 PCPRC OHPB recommendations – payment model 
• Primary care spending in Oregon: A report to the Oregon State Legislature 
  
• Integrating and Paying for Traditional Health Workers in Primary Care (November 2021) 
  

Resources

• The Health of US Primary Care: A Baseline Scorecard Tracking Support for High-Quality Primary Care (Robert Graham Center, February 2023)
• Health is Primary: Charting a Path to Equity and Sustainability (Primary Care Collaborative, November 2023)
• Evaluation of Oregon’s Patient Centered Primary Care Homes on Expenditures and Utilization from 2011 to 2019 (OHSU-PSU School of Public Health, January 2023)
• Implementing High-Quality Primary Care: Rebuilding the Foundation of Health (National Academies of Sciences, Engineering and Medicine, 2021)