Primary Care Reform Collaborative

Senate Bill 227 is an act to amend Title 16, 18 and 29 of the Delaware Code relating to primary care services. The Act promotes the use of primary care services by creating a Primary Care Reform Collaborative under the Delaware Health Care Commission. This Act requires all health insurance providers to participate in the Delaware Health Care Claims Database and requires individual, group and State employee insurance plans to reimburse primary care physicians, certified nurse practitioners, physician assistants and front-line practitioners for chronic care management and primary care at no less than the physician Medicare rate for the next three (3) years.

Senate Substitute 1 for Senate Bill 116 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.

Meeting Schedule

The Primary Care Reform Collaborative will meet from 5:00 p.m. to 7:00 p.m. at the Medical Society of Delaware (900 Prides Crossing, Newark, DE 19713) on the following dates:

Reports

• Primary Care Reform Collaborative 2020 Report
• Primary Care Reform Collaborative 2019 Report
  • Final Public Comments
• Primary Care Physicians in Delaware 2018 Survey
  • Press Release: 2018 Study Shows Continuing Decline in Primary Care Physicians

Primary Care Reform Collaborative Meeting Materials

May 6, 2020

• Agenda
• PCRC Mtg. Presentation
• Affordability Standard Overview
• Minutes

April 6, 2020

• Agenda
• PCR Collaborative, April 6, 2020
• Path Forward
• Delaware Office of Value Based Health Care Delivery
• Minutes

February 10, 2020

• Agenda
• PCR Collaborative, February 10, 2020
• Inpatient Hospital Prices and Margins in Delaware
• State Employee Benefits Committee Initiatives
• Minutes

January 8, 2020

• Agenda
• PCR Collaborative, January 8, 2020
• Delaware Medicaid Value Based Purchasing
• Delaware Value-Based Programs
• Medicaid Managed Care Contracts as Instruments of Payment Reform
• Primary Care Expenditures, Report to the Legislature (Washington)
• Trinity Health ACO
• Care Model and Certification Survey Results
• Colorado's Primary Care Payment Reform Collaborative Recommendations
• Meeting Minutes

November 12, 2019

• Agenda
• Advanced Primary Care: A Key Contribution to Successful ACOs
• Update on Value Based Payment
• Measuring Medical Homes
• Measuring Medical Homes Summary
• Defining and Measuring the Patient-Centered Medical Home - Presentation
• Defining and Measuring the Patient-Centered Medical Home - Journal General Internal Medicine
• Prospects for Rebuilding Primary Care - Health Affairs
• Meeting Minutes

October 21, 2019

• Agenda
• Oregon Primary Care Payment Reform Collaborative
• Health Facts Data Management Plan Template Rhode Island
• Meeting Minutes

September 17, 2019

• Agenda
• Investing in Primary Care, a State-level Analysis
• Primary Care Spending in the Fee-for-Service Medicare Population
• Delaware Primary Care Collaborative
• National Trends in Payment for Primary Care Services
• Meeting Minutes

March 4, 2019

• Agenda
• Delaware Primary Care Funding Model Proposal
• Proposed "Value-Based" Model for Primary Care Collaborative
• Meeting Minutes

February 25, 2019

• Agenda
• Meeting Minutes

February 18, 2019

• Agenda
• Agenda Update
• Discussion Questions
• Homework
• Care Coordination and Care Management Tasks
• PowerPoint Presentation: Paying Primary Care Provider for Care Coordination
• Task Assignments
• Meeting Minutes

February 12, 2019

• Agenda
• Meeting Topics
• Meeting Minutes

December 12, 2018

• Agenda
• Discussion Questions
• Meeting Minutes

November 28, 2018

• Agenda
• Discussion Questions
• PowerPoint Presentation
  • Highmark Delaware Primary Care Collaborative
• Meeting Minutes

November 7, 2018

• Agenda
• Discussion Questions
• PowerPoint Presentation
  • Primary Care at Christiana Care Health System
• Meeting Minutes

October 10, 2018

• Agenda
• Discussion Questions
• PowerPoint Presentations
  • Rhode Island's Novel Experiment: Rebuilding Primary Care From the Insurance Side
  • Primary Care Modernization and Health Enhancement Communities: Pathways to Better Care and Better Health
• Meeting Minutes

September 27, 2018

• Agenda
• Discussion Questions
• Meeting Minutes

September 5, 2018

• Agenda
• PowerPoint Presentation
  • First Primary Care Collaborative Meeting by Dr. Greenglass
• Meeting Minutes