Specialty Primary Care Models That Work For Consumers With Complex Needs

The primary care market is being reinvented before our eyes. The rapid expansion of retail care, increasing health plan investment in primary care practices, and changing delivery models enabled by technology are all contributing to shifting perceptions about where and how primary care is delivered. Amid these changes, we’re also seeing payers shift toward supporting “specialty” primary care (and specialty medical homes). Health plans are looking for best practice models that integrate care coordination with long-term services and supports, medical, pharmacy, behavioral health, and social services – and coordinates/provides primary care. In this session, we’ll discuss this new model for primary care for complex consumers and explore how it is reshaping the market for provider organizations.

The session will include:

  • A review of the trends reshaping the primary care market for complex consumers and the foundations of emerging specialty primary care models
  • A discussion on the implications of the market shift for specialty provider organizations
  • Case study presentations by organizations that have developed specialty primary care models for complex consumer populations