Hudson Valley P4P-Medical Home Project

Region Within State: 
Hudson Valley
Project Category: 
Insurer-Based
PROJECT STATUS
Target Start Date: 
Thursday, January 1, 2009
Pilot/Demo Length: 
3+ years

The Hudson Valley is implementing innovative programs to potentially improve quality and reduce the cost of health care delivered. First, THINC is facilitating diffusion of electronic health record (EHR) implementation in office practices of the Hudson Valley. Second, THINC RHIO is also offering a strategic approach to pay for performance (P4P) and medical home implementation among payers and providers across the Hudson Valley that will serve as a model for New York State.

The THINC P4P-Medical Home project brings together multiple health plans that service the Hudson Valley region. Using standardized measures agreed upon by providers and payers, the project will provide performance incentives from multiple payers to providers. Third, the THINC P4P project will provide an added financial incentive for private practice physicians who implement and reach Level 2 of Physician Practice Connections-Patient Centered Medical Home (PPC-PCMH), NCQA’s national recognition system for physician practices.

Type of Practices: 
Family Practice
CONVENING ENTITY/PROJECT CONTACTS
Convening Organization Name: 
Convening Organization Name: THINC, Inc.
Primary Contact: 
Susan Stuard
E-mail: 
[email protected]
Phone: 
845-896-4726
Additional Contact
Name: 
A. John Blair, MD
Participating Stakeholders: 

Aetna; CDPHP; MVP; WellPoint; United; Hudson Health Plan; IBM; Taconic IPA; MassPro; ViPS; Weill Cornell Medical College.

EXPECTED OR ACTUAL DEMOGRAPHICS OF PARTICIPATING PRACTICES
Number of Practices: 
50
Number of Participating Physicians: 
500
Physicians per practice: 
1-100
Types of Practices: 
Internal Medicine, Family Medicine, Pediatrics
Health Plan Lines of Business Included: 
Commercial, ASO
Technology Characteristics at Start of Pilot: 

Estimated % of practices with practice management systems: >95%
Estimated % of practices with electronic medical record: >95%
Estimated % of practices with registry software: >95%

Consumer Involvement: 

Consumer organization input incorporated in evaluation process

PRACTICE TRANSFORMATION SUPPORT (INCLUDING TECHNOLOGY)
Focal areas of transformation: 

Care Coordination Increased Access Information Technology (e.g., registries, patient portals) Team Approach to Care

Payment Model: 

Practices in the medical home group will be eligible to receive incentive payments for achievement of NCQA Level 2 medical home recognition. All physicians will be eligible for P4P incentives.

PROJECT EVALUATION
Types of data to be collected : 

Clinical Quality Cost/Efficiency Patient Experience/Satisfaction Provider Experience/Satisfaction

Are the practices involved in the demonstration participating in any data sharing arrangements? If so please describe.: 

Yes, Other demonstration practices

Results to Share: 

In quarter 1, 2010, we should know status of first group of 215 physicians seeking to achieve Level 2 medical home.