Another Step Forward

In the midst of an uncertain market, a new statewide initiative in California is rolling out an interesting approach to moving community-based care beyond fee-for-service (FFS). The new model (see California Advanced Primary Care Initiative), the California Advanced Primary Care Initiative, is a multiple-payer initiative to move to a common value-based primary care payment model that includes assessing and addressing consumers’ behavioral health and social needs.

Aetna, Blue Shield of California, and Health Net, among others, formalized through a 2022 memorandum of understanding, a common performance-based reimbursement model structured around four strategic pillars: practice . . .