PCPCC Convening Report

The aim of our study was to explore the intersection of advanced primary care and Accountable Care Organizations. We found very little on this topic in the peer- reviewed literature. Given the dearth of literature on this topic, we took a deeper dive into our unanswered questions by convening a panel of experts. The Robert Graham Center convened a meeting entitled the Patient- Centered Primary Care Collaborative Expert Meeting on the Intersection of PCMH (Patient Centered Medical Home) and Accountable Care Organizations(ACOs), on March 22, 2018, in Washington, DC. The meeting was sponsored by the PCPCC as a part of a comprehensive study looking at the intersection of PCMH status and ACOs. The purpose of the meeting was to gain a better understanding of the role PCMH nested within an ACO.

The team set forth three objectives for the day:

1. What elements of Patient Centered Medical Home (PCMH)advanced PC) are associated with successful ACOs and what is the impact of PCMH (primary care) on ACOs?

2. What effect does the broader healthcare community have on PCMH and ACO success?

      a. What are the relevant differences between primary care-led ACOs and hospital-based health system-led ACOs?  (e.g. in their approach to the organization and delivery of PC services, and/or in outcomes?)

      b. How does PC within ACOs interface with specialty care?

3. Are we asking the right research questions?

     a. What are some of the key unanswered questions on these topics?

     b. What would other ACOs want to know about successful ACOs?