OREGON ACADEMY OF FAMILY PHYSICIANS
CONGRESS OF THE MEMBERS
71st ANNUAL MEETING
April 14, 2018

Resolution #1

Introduced by: Glenn Rodriguez, MD

Subject:Aligning Oregon’s payment reform language with the AAFP’s Advanced Primary Care: A Foundational Alternative Payment Model (APC-APM) for Delivering Patient-Centered, Longitudinal, and Coordinated Care

WHEREASthe primary care community in Oregon has made great strides in moving towards Patient Centered Primary Care Homes with 629 recognized clinics representing 75% of the OAFP membership.

WHEREAS changing the payment model to reflect the changes made in these clinics is required to make these changes sustainable.

WHEREASthe Primary Care Payment Reform Coalition is working to address this issue.

WHEREAS the payers and providers need a common language to describe the payment models and articulate the preferred method for paying for primary care

WHEREAS the AAFP’s white paper titled “Aligning Oregon’s payment reform language with the AAFP’s Advanced Primary Care: A Foundational Alternative Payment Model (APC-APM) for Delivering Patient-Centered, Longitudinal, and Coordinated Care” offers a blueprint for an enhanced, prospective and accountable payment system for primary care services.

WHEREASthe payment model includes 4 elements:

  1. a Primary Care Global Payment which is a prospective per member/per month (PMPM) payment which is risk adjusted and covers a defined set of EM services.
  1. a Population-based Payment which is a prospective PMPM which is risk adjusted and covers non-face-to-face services.
  1. A Fee-For-Service Payment which is based on an RVU system and is for non EM services.
  1. A Performance-based Incentive Payment that is based on standard performance measures of quality and cost and is paid quarterly and reconciled annually.

THEREFORE BE IT RESOLVEDthat the OAFP adopt the AAFP’s white paper titled “Aligning Oregon’s payment reform language with the AAFP’s Advanced Primary Care: A Foundational Alternative Payment Model (APC-APM) for Delivering Patient-Centered, Longitudinal, and Coordinated Care” as our recommended payment model for primary care and

BE IT FURTHER RESOLVED that the OAFP introduce this model to the Payment Reform Primary Care Collaborative with the recommendation that it be adopted.