How ACOs and Payers Can Support the Primary Care Safety Net

Medicare and Medicaid are embracing value-based payment for accountable care organizations (ACOs) and similar entities that organize care for specific populations. The CMS Framework for Health Equity is focused on engaging providers “who have not previously participated in value-based care.” What have we learned from the experiences of early-adopter safety net practices and systems that have joined or formed ACOs and similar networks or entities? Practice leaders and experts will discuss the supports, policies, and payment and organizational models that help safety net practices succeed in ACOs and similar entities.       

Background resources
Medicaid ACOs and Managed Care: A Tale of 2 States (Massachusetts & Minnesota) A case study approach to two early adopter states, with details on payment methodologies, ben
https://www.healthaffairs.org/content/forefront/community-health-centers-and-medicaid-deeper-dive-into-fqhc-alternative-payment-reform 

CMMI's Strategic Objectives include "all new models will include patients from historically underserved populations and safety net providers, such as community health centers and disproportionate share hospitals." https://innovation.cms.gov/strategic-direction 

The Perils and Payoffs of Alternative Payment Models for Community Health Centers https://www.commonwealthfund.org/publications/2022/jan/perils-and-payoffs-alternate-payment-models-community-health-centers

Ann Greiner, MCP

President & Chief Executive Officer, Primary Care Collaborative
Ann Greiner serves as President and Chief Executive Officer of the Primary Care Collaborative (PCC), where she is focused on defining and implementing an advocacy, research and education agenda that furthers comprehensive, team-based and patient-centered primary care.  read more

Kameron Matthews, MD, JD, FAAFP

Chief Health Officer, Cityblock Health
Kameron Matthews MD, JD, FAAFP is the Chief Health Officer of Cityblock Health. Founded in 2017, Cityblock Health is a transformative, value-based healthcare provider for Medicaid, dually eligible and lower-income Medicare beneficiaries. She oversees all clinical operations across the entirety of the integrated care model virtually, in-home, and in community-based clinics, with modern, custom-built technology at the core. read more

Katherine Gergen-Barnett, MD

Vice Chair of Primary Care Innovation and Transformation, Department of Family Medicine at Boston Medical Center (BMC)
Dr. Katherine Gergen Barnett is the Vice Chair of Primary Care Innovation and Transformation in the Department of Family Medicine at Boston Medical Center (BMC). She is also a Clinical Associate Professor at Boston University School of Medicine and a fellow at BU’s Institute for Health System Innovation and Policy. Dr. Gergen Barnett has been at BMC since 2009 after completing her residency and chief residency there. read more

William Stewart, MD

Regional Pediatric Medical Director, Community Care of North Carolina
Dr. William Stewart is from Concord, North Carolina. He graduated from North Carolina State University with high Honors in Chemistry and received his medical degree from the University of North Carolina School of Medicine at Chapel Hill.  After completing his Pediatric Residency at the University of Alabama Children’s Hospital in Birmingham, Alabama, he joined Sandhills Pediatrics in 1982. Dr. Stewart is board certified by the American Board of Pediatrics read more
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