Advancing Primary Care Payment Reform in the Commercial Sector: A Report and State Policy Playbook

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The United States has the highest spending per person on health care in the world but lags behind other high-income countries in terms of health outcomes. Primary care improves health outcomes, lowers costs over time, and reduces disparities. However, this critical foundation of the health care system is crumbling.

The policy playbook presents a step-by-step guide for state policymakers and policy influencers looking to support high-quality primary care by transforming payment. In addition to policies advancing APMs for state-regulated commercial plans, the playbook also covers related areas of primary care payment reform found to be critical to their success: primary care investment and multi-payer alignment.

Read the full report.