Integrated Care Workgroup
Workgroup Overview
Beginning in 2015, this workgroup met monthly under the following charge:
- Establish eligibility criteria, metrics, and milestones for Advanced Primary Care (APC) model.
- Align Medicaid DSRIP projects, PCMH programs, ACO development, SIM initiatives and APC.
- Define and develop primary care practice transformation support.
- Define value-based payment options and recommend payment models to be adopted across payers in support of APC.
Workgroup Materials
Integrated Care Workgroup Meeting Materials
2016
Meeting 17 - October 7, 2016
Topics Discussed: (PDF)
- APC Score Card Update
- New York State of Transformation: Panel Discussion on CMMI RFI
- Governance
- Going Forward: Purchasers, Payers, Patients, and Providers
- Practice Transformation Tracking System (PTTS)
- Facilitated Discussion on ICWG’s Key Findings
Meeting 16 - July 12, 2016
Topics Discussed: (PDF)
- Governance Proposal
- Update on payer engagement; Summary of recent payer-purchasing meeting
- APC and Other Updates
- Scorecard Update
- Facilitated Discussion
Meeting 15 - May 9, 2016
Topics Discussed: (PDF)
- NEBGH Update on Payer Advisory Council
- DFS Support of APC Investments
- Next Steps post RFI: 1on1 Plan Meetings and MOU Development
- CPC+ Update and Crosswalk
- Consumer Engagement Update
Meeting 14 - April 11, 2016
Topics Discussed: (PDF)
- Health Plan RFI: Status and Responses
- Discussion on RFI Reponses
- New York State's Population Health Improvement Program (PHIP) Overview
- NYC PHIP Update
- Consumer Engagement Strategy
- APC Score Card Update
Meeting 13 - March 8, 2016
Topics Discussed: (PDF)
- DFS Update
- APC Model for 2017: structural and performance milestones,
- Independent Validation Agent
- APC/CMS Score Card Alignment
- IPRO Score Card Update
- SIM/TCPI/DSRIP Alignment
Meeting 12 - February 8, 2016
Topics Discussed: (PDF)
- Update on APC scorecard
- Milestones update: performance milestones, structural milestones details, behavioral health update
- APC alignment with other programs: APC/TCPI alignment, TA database and workforce efforts on care managers,
- Governance update
Meeting 11 - January 11, 2016
Topics Discussed: (PDF)
- Updates on model: performance milestones and behavioral health
- Approach to gate determination,
- Update on APC scorecard
- Discussion of payer and provider business cases
- APC working model for 2016
2015
Meeting 10 - November 16, 2015
Topics Discussed: (PDF)
- Medicaid alignment with APC
- Practice Transformation Technical Assistance (including oversight/TCPI alignment)
- Performance measurement and reporting
- Updates on stakeholder engagement
Meeting 9 - October 16, 2015
Topics Discussed: (PDF)
- Updates to the APC Model: Capabilities and Milestones,
- Integration of allied programs into APC:NCQA, TCPI, CPCI, MAPCP, DSRIP
- Updates on stakeholder engagement (payer focus)
- Updates on Core Measures and PT RFP
Meeting 8 - September 11, 2015
Topics Discussed: (PDF)
- Progress of APC since July 31st
- Demonstration of a primary care practice's path through APC Milestones
- Approaches to payer and provider alignment to facilitate a successful and timely APC roll-out
Meeting 7 - July 31, 2015
Topics Discussed: (PDF)
- Feedback from NEBGH and provider listening sessions
- Core Measures Follow-up
- Alternative Payment Models/Payment Model Straw-Person
- Transformation RFP Decision Points/Straw-person
Meeting 6 - June 30, 2015
Topics Discussed: (PDF)
- Revised APC Tiers
- Integration of Integrated Care
- Common Measure Set for APC
- Payment Models Discussion
- Practice Transformation RFP
Meeting 5 - May 18, 2015
Topics Discussed: (PDF)
- APC Straw-Person Revised
- Stakeholder Engagement
- Common Measure Set for APC
- Payment Models Discussion
Meeting 4 - April 28, 2015
Topics Discussed: (PDF)
- SIM Common Measure Set
- Creation of the initial SHIP scorecard
- APC Discussion
- Measurement and APC
Meeting 3 - March 30, 2015
Topics Discussed: (PDF)
- Context and Re-Orientation
- Developed the Integrated Care Workgroup Charge to achieve the Triple Aim.
- Developed the APC Straw-Person model from the eyes of the consumer, provider and payer
Meeting 2 - February 25, 2015
Topics Discussed: (PDF)
- Update on PTN/TCPI initiatives since last meeting
- Creation of the initial APC Straw-Person
Meeting 1 - January 16, 2015
Topics Discussed: (PDF)
- Overview of the current landscapes of primary care reforms and payment innovations.
- Goals for the next 6-12 months and the short term deliverables
- Plan for achieving long term reform