Pediatric Alternative Payment Model Learning Session
CTC-RI/PCMH Kids hosted a virtual learning session on Alternative Payment Models (APMs), specifically focused on special considerations related to pediatric care. Speakers included Cory King, OHIC Chief of Staff, and John Freedman and Mary Jo Condon, both of Freedman Healthcare. Many of RI’s pediatric community gathered virtually for this late-night learning session where presenters provided background information on OHIC’s primary care APM targets and timeline, defined key terminology, supplied some history on Capitation, and suggested areas to consider when negotiating on behalf of pediatric practices. Time was made available for questions and discussion. Questions largely centered around attribution and adequate compensation given the level of wellness services provided to children. For those unable to attend, here is a link to the Zoom Recording. In addition, the presentation and following documents were shared.
- OHIC Primary Care Alternative Payment Model Census document
- Graph showing variation in primary care spend by age. See page 22 of the report, page 24 of the PDF at https://nescso.org/wp-content/uploads/2021/02/NESCSO-New-England-States-All-Payer-Report-on-Primary-Care-Payments-2020-12-22.pdf
- Bruce Landon et al article on percent of patients ideally in capitated arrangements –
- Unique Pediatric Considerations for APMs – summarized by Dr. Flanagan