New York State Health Foundation

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Advancing Primary Care

Advancing Primary Care

In 2013, the Foundation established a new priority area focused on advancing primary care. Given the growing demand for primary care, the need to control health care costs, and the opportunities to develop new models of care as New York implements health reform, New York State has a unique moment to have impact on our primary care system. This new area also gives the Foundation an opportunity to build on previous investments related to primary care: efforts to improve clinical care for patients with diabetes; strengthen community health centers; integrate mental health and substance use services; and improve care coordination and reduce costs for people who have multiple chronic conditions.

NYSHealth focuses on three key strategies to advance primary care:

  • Expanding primary care capacity and access;
     
  • Encouraging new approaches to primary care delivery for high-need populations; and
     
  • Advancing payment reform.

Measuring Our Impact

The indicators below help us to track the Foundation’s and our grantees’ progress in our work to advance primary care.

View Program Impact View Social Impact
Program Impact: Advancing Primary Care
What we are doing How we measure progress Where we started Where we have been Where we are now What this
means

Expand access to care for newly insured New Yorkers and for those who remain uninsured.

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At least 40 of New York’s community health centers experience capacity expansions by 2014 as a result of NYSHealth’s efforts.

2010: 0 health centers

2011: 7 health centers

2012: 30 health centers

We met our original target of helping 20 community health centers by 2012 and increased our target to 40 by 2014. We are confident that we will reach this target by 2014.

Influence broad statewide health care payment reform initiatives.

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By the end of 2017, a statewide or regional proposal for mandatory alternative payment arrangements will have been introduced in New York State.

2012: 0 proposals

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Our work in this area is to make the case for change by supporting an ongoing dialogue about payment reform through convenings, policy analysis, and media outreach.

Social Context: Advancing Primary Care
How we Measure the Social Context for our Work Where New York Started Where New York Has Been Where New York Is Now

Percentage of New Yorkers reporting they could get medical care when needed.

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2011: 86% of New Yorkers get needed care (U.S. average: 83%)

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Number of New Yorkers in care management programs.

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2013: 17,000 receiving Medicaid health home services or in outreach/ management phase

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Health expenditures in New York State.

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2009:

Per capita personal health care spending:
NYS: $8,341
U.S.: $6,815

Per enrollee Medicare spending:
NYS: $11,604
U.S.: $10,365

Per enrollee Medicaid spending:
NYS: $10,708
U.S.: $6,826

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