High-Value

Primary care achieves excellent, equitable outcomes for individuals and families, including using health care resources wisely and considering costs to patients, payers and the system.
Primary care practices employ a systematic approach to measuring, reporting and improving population health, quality, safety and health equity, including partnering with individuals, families and community groups.
Primary care practices deliver exceptionally positive experiences for individuals, families, staff and clinicians

Resources

Hiding in Plain Sight: Investing in Primary Care Can Heal Our Dysfunctional Health Care System

June 2024

Geographic variation in overscreening for colorectal, cervical, and breast cancer among older adults

JAMA Network Open - July 2020

A comparison of contemporary versus older studies of aspirin for primary prevention

Family Practice - June 2020

PCMH and Primary Care Spend: A Different Kind of Investment

Table - June 2019

Investing in Primary Care and Dismantling Fee-For-Service

Investing in Primary Care and Dismantling Fee-For-Service - May 2019

Do Medical Homes Improve Quality of Care for Persons with Multiple Chronic Conditions?

Health Services Research - December 2018

Patient-Centered Medical Home Implementation and Improved Chronic Disease Quality: A Longitudinal Observational Study

Health Services Research - November 2018

Impact of a Medical Home Model on Costs and Utilization Among Comorbid HIV-Positive Medicaid Patients

American Journal of Managed Care - August 2018

This resource looks at a chronic care program designed to manage patients with comorbid HIV patients enrolled in Medicaid to see how the program affected costs. The study showed that costs were reduced by over $200 per patient per month. This shows how the PCMH model can lead to higher-value, more efficient care.

Opportunistic screening for heart failure with natriuretic peptides in patients with atrial fibrillation: a meta-analysis of individual participant data of four screening studies

Heart (BMJ Journal) - August 2018

Promoting High Value Care: An Action Guide for Employers

January 2018

This resource acts as a guide for employers to promote high-value care. It encourages stronger relationships between patients and their primary care physicians, promotes transparency, and suggests supporting policies that strengthen primary care. All of this emphasizes the importance of primary care utilization in the realization of high-value care.

Medicare Program Shared Savings Accountable Care Organizations Have Shown Potential for Reducing Spending And Improving Quality

HHS Office of the Inspector General - August 2017

This resource looks at how ACOs can produce higher-value care by improving quality while reducing costs. The study looks at data measuring spending and quality over the first three years of the Medicare Shared Savings Program. Overall, spending was reduced by about $1 billion, while quality measures improved over the three years.

Glucose self-monitoring in non-insulin-treated patients with type 2 diabetes in primary care settings: A randomized trial

JAMA Internal Medicine - July 2017

Does Daily Self-Monitoring of Blood Sugar Levels Improve Blood Sugar Control and Quality of Life for Patients with Type 2 Diabetes Who Do Not Use Insulin? -- The Monitor Trial

Glucose Self-monitoring in Non–Insulin-Treated Patients With Type 2 Diabetes in Primary Care Settings - June 2017

Payment Methods and Benefit Designs: How They Work and How They Work Together to Improve Health Care

Urban Institute & Catalyst for Payment Reform - May 2016

This resource discusses a project conducted that looks at how payment methods and benefit designs can work together to improve quality and increase value of care. This intersection should be considered when moving forward with reforms that aim to create more high-value care.

Changes in Low-Value Services in Year 1 of the Medicare Pioneer Accountable Care Organization Program

JAMA Internal Medicine - September 2015

This study looks at how accountable care organizations (ACOs) improve healthcare efficiency by decreasing the provision of low-value care that provides minimal clinical benefits. It concluded that these type of risk-contracts may discourage use of low-value services and lead to more high-value care.

Salary and Quality Compensation for Physician Practices Participating in Accountable Care Organizations

Annals of Family Medicine - July 2015

This survey looks at how primary care physicians are compensated based on whether they are in ACO or non-ACO practices. Participation in ACOs was associated with significantly higher physician compensation for quality. This study helps to show how ACOs can be optimally structured for the highest-value.

Webinars

Do Medical Homes Work?
PCPCC National Briefing: Employers and the Primary Care Imperative
PCPCC National Briefing Webinar: MACRA, MIPS, APMs & CPC+:
Evidence Report Webinar: The Impact of Primary Care Practice Transformation on
Overcoming Challenges to Ideal Primary Care
Webinar - Measuring Primary Care Investment: Overcoming Policy and Operational
Webinar Recording: Optimizing Value and Patient Outcomes Through Comprehensive
Webinar: Successful ACOs - A Strong Foundation of Primary Care?
January Lunch and Learn Discussion
The Commercial Market: Alternative Payment Models for Primary Care
PCC's September Webinar
Prioritizing Solutions: Empowering Collaborative Primary Care with Ethical Use
The MACRA Impact: Anticipated Challenges of Solo and Small Practices
PCC August Webinar

Other Principles

Accessible

Comprehensive and Equitable

Continuous

Coordinated and Integrated

Person- & Family-Centered

Team-Based and Collaborative

PCC Resources

All Webinars