Recorded in August, 2023 this 90 minute webinar features Katherine Hempstead of the Robert Wood Johnson Foundation, Robert Saunders of the Margolis Center for Health Policy at Duke University and Ronald Vance of Alvarez & Marsal Healthcare discussing how payers and providers might stand to benefit from the MCP model, and what concerns might need to be addressed as part of this HealthExecWire webinar event, What to Make of CMS’s New “Making Care Primary” Model.
Video Recording of Webinar with Presentations in PDF format: $349
In June, the Centers for Medicare & Medicaid Services announced it was launching a decade-long project to test a revamped primary care model in eight states. The model, called Making Care Primary (MCP), will focus on strengthening care for patients suffering from chronic illnesses and behavioral health issues, as well as those who live in isolated rural areas. It also intends to flatten disparities in care.
The MCP model will include additional payments to participants, including prospective payments for primary care delivery that will reduce organizations’ reliance on fee-for-service payments. There will also be prospective risk-adjusted enhanced services payments intended to expand care management initiatives and better integrate primary care delivery with specialty services. And for the first time in such a model, federally qualified health centers (FQHCs) will participate.
When the MCP model launches it will not only include providers, but Medicare Advantage plans, state Medicaid programs and Medicaid managed care organizations.
- Understanding the components of the Making Care Primary model, and how both providers and payers may benefit.
- How the MCP model might impact existing and future value-based care models.
- What may be required to participate in the MCP model initiative.
- What incentives CMS will be paying to participants, and what level of performance is expected.
- How findings from the MCP model might apply to providers and payers, whether MCP participants or not.
KATHERINE HEMPSTEAD, PhD
Senior Policy Adviser, Robert Wood Johnson Foundation
Dr. Hempstead is a senior policy adviser at the Robert Wood Johnson Foundation. She works on healthcare issues, mostly those related to health insurance, costs, and access to care. In her work in the policy unit, she seeks to inform policy discussions at the federal and state level by making data and analyses widely available. She is particularly interested making new sources of data that have the potential to inform policy available to researchers and the public sector. Katherine's Full Bio
Robert Saunders, PhD
Managing Director, Margolis Center for Health Policy at Duke University
Dr. Saunders is Senior Research Director at the Margolis Center for Health Policy at Duke University. In this role, he oversees the Center's workstream on payment and delivery reform initiatives, including generating practical evidence on these reforms; translating that evidence into recommended solutions; and accelerating progress on implementing effective policy actions at the state, national, and international levels. The team includes portfolios focused on Medicare accountable care transformations, health care transformation for health equity and social needs, Medicaid and state health care transformation in North Carolina and other states, medically and socially underserved populations, and bolstering population health. Robert's Full Bio
Managing Director, Alvarez & Marsal
Ronald Vance is a Managing Director with Alvarez & Marsal Healthcare Industry Group in Washington, D.C. He is Co-Head of the Health Insurance & Managed Care service line. Mr. Vance has more than 25 years of experience in restructuring, turnaround management, growth plans, product development, operational improvements, provider contracting, mergers and acquisitions and the development of strategic business alliances in the health benefits and insurance industry.
Mr. Vance has done financial and operational due diligence on potential acquisitions for health plans and clinical organizations, advised boards on acquisitions and divestitures, and developed and executed custom solutions to drive performance improvement. He has also advised executive teams and boards of medical groups on aligning incentives, improving value-based contracting structures, and improving operations in population health management, virtual care and ambulatory care delivery.
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