The CMS Request for Information (RFI) seeks information on innovations in advanced primary care http://innovation.cms.initiatives/Advanced-Primary-Care in order to encourage a more comprehensive primary care delivery system. Specifically, CMS wants to improve care for complex patients, facilitate robust connections to medical neighborhood and community-based services, and move reimbursement from encounter-based towards value-driven care.
Advanced primary care is based on the principles of the Patient Centered Medical Home and builds on the care delivery models employed in other CMS model tests, including the Comprehensive Primary Care Initiative http://innovation.cms.gov/initiatives/Advanced-Primary-Care
One of the specific topics of interest in the RFI, calls for developing ways to use health IT, including electronic health records, data analytics, and population health tools to support advanced primary care.
The CMS RFI seeks input from consumers, consumer organization, healthcare providers, associations, purchasers at health plans, Medicaid agencies and other state offices, quality review organizations, social service providers, HIT vendors and other stakeholders.