Talks On the Hill about the ACA and Primary care transformation by : Kevin Grumbach, University of California, San Francisco; Paul Grundy, IBM; Craig Jones, Vermont Blueprint for Health; and Jeffrey Schiff, Minnesota Department of Human Services. Melinda Abrams of The Commonwealth Fund and Ed Howard of the Alliance co-moderated.

1. Innovations in Primary Care: What's in the ACA?
Monday, December 13, 2010
One of the goals of the Affordable Care Act is improving the quality of health care while also slowing
the growth of spending. This will not be easy as 30+ million individuals gain insurance and the need for
chronic care coordination increases with an aging population.
In order to meet this challenge, the law aims to move the health care system away from an episodic, fee-
for-service approach and towards a coordinated, preventive model of care delivery.
Important to this effort are primary care providers, who will serve as the focal point for new models
such as the patient-centered medical home and the accountable care organization. The nature of these
new systems of care delivery will depend in turn on a variety of factors, including the design of
payment incentives, the involvement of Medicare and the private sector, the impact of state initiatives
and the lessons learned from the various pilot programs authorized by the law. This briefing will
explore these and other important topics.
How does the ACA support primary care? What strategies are being pursued to build the capacity of the
provider workforce? How will payment reforms affect the delivery of care? What roles will states and
purchasers play in this effort?
To address these questions and others, the Alliance and The Commonwealth Fund sponsored a
December 13 briefing. Panelists were: Kevin Grumbach, University of California, San Francisco; Paul
Grundy, IBM; Craig Jones, Vermont Blueprint for Health; and Jeffrey Schiff, Minnesota Department
of Human Services. Melinda Abrams of The Commonwealth Fund and Ed Howard of the Alliance
co-moderated.
Speakers
Melinda Abrams, The Commonwealth Fund, Moderator
Kevin Grumbach, University of California, San Francisco, Speaker
Jeffrey Schiff, Minnesota Department of Human Services, Speaker
Craig Jones, Vermont Blueprint for Health, Speaker
Paul Grundy, IBM, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)
Transcript, Event Summary and/or Webcast and Podcast
Transcript: Innovations in Primary Care: What's in the ACA? (Adobe Acrobat PDF), 12/22/2010
Event Summary: Event Summary (Word Document), 12/22/2010
Full Webcast/Podcast: Innovations in Primary Care: What's in the ACA?
The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations,
are provided by Kaiser Family Foundation.
Speaker Presentations
Melinda Abrams Presentation (PowerPoint), 12/13/2010
Kevin Grumbach Presentation (PowerPoint), 12/13/2010

2. Craig Jones Presentation (PowerPoint), 12/13/2010
Jeffrey Schiff Presentation (PowerPoint), 12/13/2010
Paul Grundy Presentation (PowerPoint), 12/13/2010
(If you want to download one or more slides from these presentations, contact us at info@allhealth or
click here for instructions.)
Source Materials
Agenda (Word Document), , 12/13/2010
Sourcelist (Word Document), , 12/13/2010
Materials List (Adobe Acrobat PDF), , 12/13/2010
Event Summary (Word Document), , 12/22/2010
Speaker Biographies (Word Document), , 12/13/2010
Offsite Materials (briefing documents saved on other websites)
How Physician Practices Could Share Personnel and Resources To Support Medical Homes, Health
Affairs, 6/22/2010
- By Melinda Abrams, Edward L. Schor, & Stephen Schoenbaum
Patient-Centered Medical Home: What, Why and How?, IBM Global Business Services, 5/1/2009
- By Jim Adams, Paul Grundy, Martin S. Kohn, and Edgar Mounib
If You Build It, Will They Come? Designing Truly Patient-Centered Health Care, Health Affairs,
5/1/2009
- By Christine Bechtel and Debra L. Ness
A Nationwide Survey of Patient-Centered Medical Home Demonstration Projects, The Commonwealth
Fund, 5/17/2010
- By Asaf Bitton,Carina Martin and Bruce Landon
Health Policy Brief: Patient-Centered Medical Homes, Health Affairs and Robert Wood Johnson
Foundation, 9/14/2010
- By Amanda Cassidy
Patient Protection and Affordable Care Act: Promise and Peril for Primary Care, Annals of Internal
Medicine, 6/1/2010
- By John D. Goodson
Outcomes of Implementing Patient Centered Medical Home Interventions: A Review of the Evidence
from Prospective Evaluation Studies in the United States, Patient-Centered Primary Care Collaborative,
11/16/2010
- By Kevin Grumbach and Paul Grundy
The Multi-Stakeholder Movement for Primary Care Renewal and Reform, Health Affairs, 5/1/2010
- By Paul Grundy Kay R. Hagan, Jennie Chin Hansen and Kevin Grumbach
The Timeline for Accountable Care: The Rollout of the Payment and Delivery Reform Provisions in the
Patient Protection and ACA and the Implications for Accountable Care Organizations, Health Law
Reporter, 3/25/2010
- By Douglas A. Hastings
Patient Beware of Accountable Care Organization, The Heritage Foundation, 10/27/2010
- By Daniel Johnson
Community Care of North Carolina: Building Community Systems of Care through State and Local
Partnerships, The Commonwealth Fund., 6/1/2009
- By Douglas McCarthy and Kimberly Mueller

3. Health Policy Brief: Accountable Care Organizations, Health Affairs and Robert Wood Johnson
Foundation, 8/13/2010
- By Mark Merlis
Structuring Payment for Medical Homes, Health Affairs, 5/1/2010
- By Katie Merrel and Robert A. Berenson
Health Care Homes: Annual Report on Implementation 2009, Minnesota Department of Human
Services., 12/1/2009
- By Minnesota Department of Human Services
The Group Health Medical Home at Year Two: Cost Savings, Higher Patient Satisfaction, And Less
Burnout for Providers, Health Affairs, 5/1/2010
- By Robert J. Reid, Katie Coleman, Eric A. Johnson, Paul A. Fishman, Clarissa Hsu, Michael P.
Soman, Claire E. Trescott, Michael Erikson and Eric B. Larson
Primary Care and Accountable Care – Two Essential Elements of Delivery-System Reform, The New
England Journal of Medicine, 12/10/2009
- By Diane Rittenhouse, Stephen M. Shortell and Elliott S. Fisher
Designing Vermont’s Pay-for Population Health System, Preventing Chronic Disease 2010, 11/1/2010
- By James Hester
The Family Doctor: A Remedy for Health-Care Costs?, Businessweek, 7/6/2009
- By Catherine Arnst
CMS Introduces New Center for Medicare and Medicaid Innovation, Initiatives to Better Coordinate
Care, Centers for Medicare and Medicaid , 11/16/2010
- By Centers for Medicare and Medicaid Services.
Press Release: HHS Awards $320 Million to expand Primary Care Workforce, Health and Human
Services, 9/27/2010
- By: Health and Human Services
In Reversal, ‘Match Day’ Sees Rise in Students Seeking Family-Medicine Residencies, The Chronicle
of Higher Education., 3/18/2010
- By Katherine, Mangan
Health Care Reform Calls for Shared Savings Programs: ACO Model Could Offer Lower-cost, Higher-
quality Care, American Academy of Family Physicians News Now, 10/27/2010
- By: Sheri Porter
Pilot Plan on Health an Option for States, The Wall Street Journal, 6/8/2010
- By Shirley S.Wang
Photos
Melinda Abrams, vice president at The Kevin Grumbach of the Univ. of Calif. - San

4. Commonwealth Fund, described how the Francisco discussed the wisdom of investing in
Affordable Care Act invests in primary care, at primary care at the Dec. 13 briefing cosponsored
the Dec. 13 briefing cosponsored by the Fund. (6 by The Commonwealth Fund. (13 min.)
min.)
Jeffrey Schiff of the Minnesota Dept. of Human Craig Jones, director of Vermont Blueprint for
Services describes how the Minnesota Health Health, described how Vermont is boosting
Care Home program coordinates care among primary care at the Dec. 13 briefing cosponsored
many providers. From the Dec. 13 briefing by The Commonwealth Fund. (14 min.)
cosponsored by The Commonwealth Fund. (14
min.)
Paul Grundy, IBMs global director of healthcare
transformation, laid out the business care for
patient-centered medical homes at the Dec. 13
briefing cosponsored by The Commonwealth
Fund. (14 min.)