Delaware

The first statewide PCMH program, the Delaware Patient Centered Medical Home Initiative, is a pilot set up by the Medical Society of Delaware and Highmark Delaware (expanding from 20 practices to 90 practices heading into its second year). In September of 2013, Highmark Blue Cross Blue Shield Delaware (Highmark Delaware), MedNet (a subsidiary of the Medical Society of Delaware), and the four Physician Organizations (POs) in Delaware signed a Letter of Intent to establish an Accountable Care Organization (ACO) in Delaware.

Although there is no formal Medicaid PCMH program in the State, Delaware's Quaified Health Plan (QHP) requirements include that  "Issuers are required to participate in state quality improvement workgroups intended to standardize QHP quality improvement strategies, activities, metrics and operations, including payment structures to improve health outcomes, medical home models and technology and data analytics to support coordination and improved quality and outcomes."

Delaware's State Implementation grant to Improve Services to Children and Youth with Special Health Care Needs (CYSHCN) is supporting the development of medical homes for CYSHCN.

 

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
Yes
Legislative PCMH Initiative: 
No
Private Payer Program: 
Yes
State Facts: 
Population:
907,900
Uninsured Population:
7%
Total Medicaid Spending FY 2013: 
$1.6 Billion 
Overweight/Obese Adults:
64.6%
Poor Mental Health among Adults: 
32.9%
Medicaid Expansion: 
Yes 

Delaware Senate Bill 120

Requires the Office of Value-Based Health Care Delivery to establish mandatory minimums for payment innovations, including alternative payment models, and evaluate annually whether primary care spending is increasing in compliance with the established mandatory minimums for payment innovations.

Delaware Senate Bill 116

This Act expands the membership of the Primary Care Reform Collaborative and creates an Office of Value-Based Health Care Delivery in the Department of Insurance to reduce health care costs by increasing the availability of high quality, cost-efficient health insurance products that have stable, predictable, and affordable rates. The Office of Value-Based Health Care Delivery will work with the Primary Care Reform Collaborative and the State benchmarking process.

 

Delaware House passes bill that continues recent efforts to strengthen primary care system in the state

On June 29, the Delaware House passed a bill that continues recent efforts to strengthen the primary care system in the state by:

Delaware Sets Primary Care Investment Target

In December 2020, Delaware’s Office of Value-Based Health Care Delivery issued a new report on healthcare affordability standards that includes plans to “more than double primary care spending in the commercial fully insured market by 2025.” The office set a provisional target to increase investments in primary care by 1% to 1.5%

PCPCC Commends Delaware for Expanding the Membership of the State’s Primary Care Reform Collaborative

The Patient-Centered Primary Care Collaborative (PCPCC) is pleased to report that Governor John Carny (D) signed Delaware Senate Bill 116  on August 7, 2019. 

This legislation expands the membership of the State’s Primary Care Reform Collaborative, creates the Office of Value-Based Health Care Delivery within the Department of Insurance, and compels the Collaborative to set a target for primary care investment by 2025

SB 226: An Act To Amend Title 16 And Title 18 Of The Delaware Code Relating To The Primary Care Reform Collaborative And The Creation Of The Office Of Value-based Health Care Delivery.

This Act expands the membership of the Primary Care Reform Collaborative and creates an Office of Value-Based Health Care Delivery in the Department of Insurance to reduce health care costs by increasing the availability of high quality, cost-efficient health insurance products that have stable, predictable, and affordable rates. The Office of Value-Based Health Care Delivery will work with the Primary Care Reform Collaborative and the State benchmarking process.

PCPCC Applauds Delaware Report Recommending Increased Investment in Primary Care

Washington, DC -- The Patient-Centered Primary Care Collaborative (PCPCC) applauds Delaware’s Primary Care Reform Collaborative (Collaborative) for its recommendations to invest mor
News Author: 
Allison Gross

Number of primary care doctors in First State trending down

News Author: 
Matt Bittle

National Meeting on Increasing Investment in Primary Care

FMAHealth in collaboration with the Patient Centered Primary Care Collaborative (PCPCC) sponsored, the first national conversation on increasing investment in primary care on November 9, 2018. The workshop followed the PCPCC’s Annual Conference where a broad audience was educated about the importance of increased investment in primary care. Alex Azar, Secretary of Health and Human Services, spoke about the importance of primary care and ways in which CMMI would be moving forward with alternative primary care payment models.

PCPCC Applauds Delaware Law to Strengthen Primary Care

For Immediate Release: CONTACT: Allison Gross; (202) 417-2075; agross@pcpcc.org 

Washington, DC (August 29, 2018) - The Patient-Centered Primary Care Collaborative (PCPCC) applauds Delaware Governor John Carney Jr. for signing into law Senate Bill 227, legislation designed to strengthen primary care services and payment.

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