Building A Specialty Primary Care Program: New Models For Consumers With Complex Conditions

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The primary care market is being reinvented before our eyes. The rapid expansion of retail care, increasing health plan investment in primary care practices, and changing delivery models enabled by technology are all contributing to shifting perceptions about the role of primary care. In the midst of this change, we’re also seeing a new payer preference for “specialty” primary care (and specialty medical homes). Health plans are looking for a best practice model that integrates care coordination with long-term services and supports, medical, pharmacy, behavioral health, and social services—and coordinates/provides primary care. In this session, we’ll discuss this new model for primary care for complex consumers and explore how it is reshaping the market for provider organizations. The session will include:
  • A review of the trends reshaping the primary care market for complex consumers and the foundations of emerging specialty primary care models
  • Case models about organizations that have developed specialty primary care models for complex consumer populations
  • A discussion about the implications of the market shift for specialty provider organizations