Since 2010, the Oregon Primary Care Association (OPCA) has been leading the development and implementation of an Alternative Payment Methodology (APM), in partnership with Oregon’s state Medicaid office. The purpose of the APM is to provide participating clinics with a payment approach that is detached from the face-to-face provider visit, allowing for much greater flexibility in transforming the care model to support population health.
The APM program began with a pilot group of three clinics and has now grown to include 14 out of Oregon’s 33 Community Health Centers. OPCA's APM arrangement is the first of its kind in the nation. OPCA's participation in the Safety Net Medical Home Initiative provided the impetus to pursue an alternative payment approach, which went live in July of 2013. After several years of development on the payment side, OPCA created a collaborative learning community to advance transformations in care, expanding APM to become the Advanced Payment and Care Model (APCM).
Led by MacColl's Katie Coleman, the APCM learning community kicked off in January 2014 with a gathering of national experts in safety net health care for a discussion of the promising clinical practices available under a more flexible approach to payment. In pursuit of OPCA’s mission to lead the transformation of primary care, the next frontier in OPCA’s payment and care model evolution focuses on stronger partnerships with patients and community organizations in order to support individual and community interventions to address the social determinants of health.
OPCA works to spread its learning beyond Oregon’s state boundaries and has already shared APCM experience with over 18 states through a combination of on-site visits, webinars, phone calls and email. As additional states advance their own work in payment and care model innovation, they encounter the typical complexities of system change and have expressed a great deal of interest and excitement at the opportunity to learn from OPCA and from each other. In an effort to more systematically and efficiently respond to requests for information and to share the insights of the past 5 years of experience, in 2016 OPCA hosted the first APCM Learning Exchange with PCA partners from around the country. Read a summary of the event, "OPCA Alternative Payment and Advanced Care Model Learning Exchange".
The Oregon Primary Care Association is the membership association for Oregon’s 33 Federally Qualified Health Centers, also known as community health centers. Oregon’s community health centers operate more than 200 sites statewide to deliver integrated medical, dental and behavioral health services to many of the state’s most vulnerable communities.