New York State Health Foundation

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Advancing Primary Care

Advancing Primary Care

In 2013, the Foundation established a priority area focused on advancing primary care. Given the growing demand for primary care, the need to control health care costs, and the opportunities to develop new models of care as New York implemented health reform, NYSHealth had a unique moment to have impact on our primary care system. This area also gave the Foundation an opportunity to build on previous investments related to primary care: efforts to improve clinical care for patients with diabetes; strengthen community health centers; integrate mental health and substance use services; and improve care coordination and reduce costs for people who have multiple chronic conditions.

NYSHealth focused on three key strategies to advance primary care:

  • Expanding primary care capacity and access; 
  • Encouraging new approaches to primary care delivery for high-need populations; and 
  • Advancing payment reform. 

Measuring Our Impact

The program indicators below help us to track the Foundation’s and our grantees’ progress in our work to advance primary care. The social indicators help us to understand and track the context of our work, and help us keep the bigger picture in mind when we consider new grant proposals.

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Program Impact: Advancing Primary Care
What we are doing How we measure progress Where we started Where we have been Where we are now What this

Expand access to care for newly insured New Yorkers and for those who remain uninsured.

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At least 50 of New York’s community health centers experience capacity expansions as a result of NYSHealth’s efforts.

2010: 0 health center sites

2014: 47 health center sites 

2015: 52 health center sites

We reached our target on this measure. 

Influence broad statewide health care payment reform initiatives.

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By the end of 2017, a statewide or regional proposal for mandatory alternative payment arrangements will have been introduced in New York State.

2012: 0 proposals

In 2014, we held two meetings and continued our work to develop a payment reform scorecard. We also initiated work to implement a duals demonstration program and to improve hospital price transparency. 

2015: Target met

2015: Under the Medicaid DSRIP program, the State has set a formal goal that 90% of all Medicaid payments shall be made under value-based arrangements.
Similarly, the State Health Improvement Plan has formally set a goal that 80% of all commercial payments shall be made under value-based arrangements.

Social Context: Advancing Primary Care
How we Measure the Social Context for our Work Where New York Started Where New York Has Been Where New York Is Now

Percentage of New Yorkers reporting they could get medical care when needed

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2011: 86% of New Yorkers get needed care (U.S. average: 83%)

2012: 85% of New Yorkers get needed care (U.S. average: 84%)

2013: 85% of New Yorkers get needed care (U.S. average: 85%)

Number of New Yorkers in care management programs

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April 2013: 27,711 New Yorkers enrolled in a  Medicaid health home

July 2014: 73,814 New Yorkers enrolled in a Medicaid health home

October 2015: 110,981 New Yorkers enrolled in a Medicaid health home 

Medicaid expenditures in New York State

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2011: $8,272 per recipient

2013: $7,929 per recipient

2014: $8,223 per recipient