Rapid transformation in health care delivery and financing is taking place in many U.S. states, with broad implications for the primary care system and primary care infrastructure. Investing in primary care is an essential component for transforming the delivery and financing of care.

This resource paper was developed to help states in developing a multi-payer primary care investment strategy. It was made possible by the federal Center for Medicare and Medicaid Innovation (the Innovation Center) to inform states that are pursuing State Innovation Models (SIM). Authors from the Center for Health Care Strategies (CHCS) and the State Health Access Data Assistance Center (SHADAC) present options for advancing and measuring investments in state-based primary care systems, with an emphasis on engaging commercial payers and aligning public and private payment and care delivery models.

The paper explores the levers states can use to advance multi-payer primary care policies and highlights state approaches for encouraging multi-payer investment in primary care via revenue enhancement and practice supports. It concludes with a review of potential measures for monitoring the impacts of primary care investment policies and tracking primary care system performance.


About this Resource

This resource was produced with support from CMS’ Innovation Center.  CHCS is part of a team led by NORC at the University of Chicago that is serving as the State Innovation Model Resource Support Contractor. CHCS is supporting the states and the Innovation Center in designing and testing multi-payer health system transformation approaches, along with NORC and other technical assistance partners, including SHADAC, the National Governors Association, Manatt Health Solutions, and Mercer Consulting.