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Six Health Plans Pay $1.5 Million in Incentives to Create Medical Homes for Nearly Half a Million Hudson Valley Residents
Date:3/9/2011

he patient receives," said Mark Foster, MD, chairman of THINC's board and lead physician of Hudson Valley Primary Care, a participating PCMH practice. "Some of this is obtained by improved care coordination, access and more complete care. This enhanced value for patients and insurers will allow for lower medical costs in the long term as patients are receiving more preventative services on time. This project would not have been successful without the participation of multiple health plans and the assistance from THINC and Taconic IPA."

Following on the success of its medical home incentive program, THINC, in partnership with Taconic IPA and supported by technical expertise from Geisinger Health System, seeks to bring a model of embedded care management within NCQA Level 3 patient-centered medical homes to achieve gains in efficiency and quality. Geisinger's ProvenHealth Navigator program will be tailored to meet the specific needs of the Hudson Valley. The program will start with a small pilot at several sites with the ultimate goal of rolling out to medical home recognized primary care providers across the community. THINC believes this program will generate significant improvements in cost and quality of care for high-risk patients and will carry with it national importance in testing the applicability of such a model outside of an integrated health system.

Along with the promise of incentive payment once NCQA recognition was achieved, the health plans provided data which will be used to evaluate the project's outcomes, part of a five-year commitment from the plans to help practices delivery enhanced care.

"The project evaluation will go beyond what the national demonstration project was able to measure, giving us information about physician satisfaction, patient satisfaction, and improvements in quality of care, which we can report in 2011," Stuard said. "For the first time, the data set will allow us to benchmark this quality data and then
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