The Maryland Multi-payer Patient-Centered Medical Home Program (MMPP) began a three‐three year pilot study in 2011 to test the PCMH model of care, including 52 primary and multi-specialty practices. The practices are comprised of both private and all of the federally‐qualified health centers located across the State. Maryland law requires the State’s five major carriers of fully insured health benefit products (Aetna, CareFirst, CIGNA, Coventry, and UnitedHealthcare) to participate in the MMPP.
Aetna announced five accountable care agreements in Maine. The agreements align payment for medical services at major health systems in Maine with improved quality, efficiency and patient experiences.The agreements support Aetna's commitment to develop accountable care models for the State of Maine's employees and their dependents, which Aetna administers.
Ohio’s Cincinnati-Dayton region is one of the seven markets selected to participate in the CPC initiative. The Ohio-Kentucky designated area contains 75 primary care practices, 61 of which are located in Ohio, with 261 providers and an estimated 44,500 Medicare beneficiaries.
Completed in June 2012, this 3-year project was one of the first multi-payer medical home pilots. The project involved 5 private health plans and the State's hig-risk pool carrier, Cover Colorado, who provided additional compensation to 16 primary care practices. All participating practices were required to achieve at least level 1 PCMH recognition by the National Committee for Quality Assurance. HealthTeamWorks provided support to practices on quality improvement and transformation to PCMH through individual coaching and learning collaboratives.
The CPCi is a nationwide, multipayer project from the CMS Innovation Center providing enhanced compensation for high-quality, coordinated, patient-centered care to Medicare patients. Practices were selected through a competitive application process based on their use of health information technology, ability to demonstrate recognition of advanced primary care delivery by accreditation bodies, service to patients covered by participating payers, participation in practice transformation and improvement activities, and diversity of geography, practice size and ownership structure.
Aetna's nationwide patient-centered medical home program has launched in several states, including New York, Massachussets, Connecticut, New Jersey, and Ohio; including a multi-year partnership with CMS Comprehensive Primary Care grantees. Primary care providers who participate in Aetna’s networks, who have been recognized by the National Committee for Quality Assurance (NCQA) as a Patient-Centered Medical Home, and who are not participating in other quality incentive programs with Aetna are being considered for the Patient-Centered Medical Home program in Massachusetts.
