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, NYSHealth 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
  • Advancing payment reform

Measuring Our Impact

The program indicators below help us to track the Foundation’s and our grantees’ progress in our work to advance primary care. The social indicators help us to understand and track the context of our work, and help us keep the bigger picture in mind when we consider new grant proposals.

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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 50 of New York’s community health centers experience capacity expansions by the end of 2014 as a result of NYSHealth’s efforts.

2010: 0 health center sites

2012: 30 health center sites 

2013: 45 health center sites

We exceeded our target of helping 40 community health center sites by the end of 2013 and increased our target to 50 by the end of 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

N/A

N/A

In 2013, we held three meetings and produced one chart book to inform payment reform discussions. We also initiated the development of a State payment reform scorecard and we will continue to work toward this goal in 2014.

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%)

N/A

2012: 85% of New Yorkers get needed care (U.S. average: 84%)

Number of New Yorkers in care management programs

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April 2013: 27,711 New Yorkers enrolled in a  Medicaid health home

October 2013: 35,969 New Yorkers enrolled in a Medicaid health home

January 2014: 54,100 New Yorkers enrolled in a Medicaid health home 

Health care expenditures in New York State

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2009:

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

Per enrollee Medicare spending:
New York State: $9,326
U.S.: $9,477

Per enrollee Medicaid spending:
New York State: $8,960
U.S.: $5,535

N/A

2010

 

Per capita personal health care spending: 
New York State: N/A
U.S.: N/A

 

Per enrollee Medicare spending: 
New York State: $9,384
U.S.: $9,584

 

Per enrollee Medicaid spending: 
New York State: $8,910
U.S.: $5,560