HCT has recognized the potential of the Patient Centered Medical Home approach to align the needs of members/patients, providers, employers, and community resources to achieve the triple aim of improved health, improved healthcare, and lower cost. Developed with Connecticut primary care physicians, the A-PMPM program may provide payment for value to advanced primary care practices demonstrating transformation by meeting a specific set of criteria related to access, care coordination and quality.


PROGRAM FEATURES:

• Easily identified practice attributes and measures to support HCT members and patients who are most vulnerable (i.e., those with chronic and complex conditions).

• Identification, by HCT, of high-risk members; and proactive care coordination by the practice for those with risk scores in the top 20% based on predictive modeling software.

• Opportunity for practices to self-nominate high-risk HCT members for inclusion in the program, through submission of a patient care plan.

• Value-based reimbursement models, based on the practice’s ability to meet program criteria.


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