Enhanced Personal Health Care Program - Georgia

The Enhanced Personal Health Care Program empowers primary care physicians to engage in comprehensive primary care functions that move toward a coordinated, evidence-based care model that has the greatest impact on achieving the triple aim of improved quality, patient experience and affordability.  

This program:  

• Makes a significant investment in primary care that allows primary care physicians and their practice team to do what they can do best: manage all aspects of their patients’ care.
• Provides primary care physicians with tools, resources and meaningful information that promotes (1) access, (2) shared decision making, (3) proactive health management, (4) coordinated care delivery, (5) adherence to evidence based guidelines and (6) care planning built around the needs of the individual patient, leading to improved quality and affordability for customers and their patients.
• Helps redesign the current payment model to move from volume based to value based payment, aligning financial incentives and providing financial support for activities and resources that focus on care coordination, individual patient care planning, patient outreach and quality improvement.

The program improves patient experience by:

• Creating better access to a primary care physician who will provide "whole-person care" and will become the patient's health care champion and help them navigate through the complex health care system
• Inviting active participation in their health care through shared decision making
• Optimizing their health

Through a series of Learning Collaborative events during the first 12 months of participation, providers and practice staff care encouraged to attend sessions on topics such as care management and coordination, practice transformation, use of data, quality improvement, patient engagment, access to care, and behavioral health. The program will be launched statewide in 2015.