Primary care practices in New York face pressure from payers and regulators to transition to a medical home model and to participate in value-based payment (VBP) contracts. The changes require increased operating costs in a way that is particularly onerous for small primary care practices, which are critical points of access for residents of some of New York City’s poorest neighborhoods. In many cases, the only option appears to be to join a much larger physician practice or a hospital-run physician practice.

A new report—which is a collaborative effort under the NYC Population Health Improvement Program (NYC PHIP), with funding from the New York State Department of Health—outlines a potential solution to the challenge that faces small primary care practices attempting to adjust to the new reality of VBPs.

Originally published in United Hospital Fund in partnership with the New York City Population Health Improvement Program on June 14, 2018.