NASHP conference: Learning the ABCs of APCs and Medical Homes. Advance Primary Care (APC) or medical home models in both managed and fee for service delivery systems. Speakers will describe a variety of strategies that states are using to support primary care providers by connecting them to necessary resources including care coordination, public health and social services.

1. NASHP Learning the ABCs of APCs and Medical Homes October 5, 2010 Foster Gesten, MD New York State Department of Health [email_address]

4. Enrollment Enrollment as of December 31 st of each year Source: DOH/OHIP Recipient Summary Fact, Child Health Plus and EPIC

6. Inpatient Spending Per Enrollee Significantly Exceeds National Averages; Spending on Ambulatory Care Has Lagged Source: CMS, 2008 Statistical Supplement Table 13.26

8. New York Focus on Payer How Does the Quality of Care for Medicaid Compare to the US?

9. New York Medicaid Managed Care vs National Effectiveness of Care Measures NYS Medicaid 2008 National Medicaid 2008 Result Monitoring Persistent Medications 86.6 82.6 Appropriate Testing - Pharyngitis 80.5 61.4 Breast Cancer Screening 66.8 50.8 Cervical Cancer Screening 73.4 66.0 Childhood Immunization Status 77.4 73.7 Cholesterol Management – LDL-C <100 46.8 40.1 Comprehensive Diabetes Care – Eye Exams 62.0 58.8 Comprehensive Diabetes Care – Good HbA1c Testing 37.9 32.9 Controlling High Blood Pressure 65.0 55.8 Follow-Up After Hospitalization for Mental Illness – 30 days 78.4 61.7 Care for Children w/ ADHD Med. – Continuation 60.7 39.5 Lead Screening 86.4 66.7