History

Convened in 2008 by the Office of the Health Insurance Commissioner (OHIC) and the Executive Office of Health and Human Services (EOHHS), CTC-RI brings together key health care stakeholders to promote care for patients with chronic illnesses through the patient-centered medical home (PCMH) model, and is the state's only is the multi-payer PCMH initiative. The program began with five pilot sites and has grown to 81 primary care practice sites, including internal medicine, family medicine, and pediatrics, through PCMH-Kids. These practices represent 522 providers across our adult and pediatric practices caring for  approximately 330,000 Rhode Islanders (roughly 1/3 of the state's population). CTC-RI anticipates continued expansion in support of state leadership goals to increase the number of PCMHs in the state.

In 2015 CTC-RI incorporated as a 501c3, establishing a Board of Directors as its governing body. CTC-RI is supported by funding from public and private payers in Rhode Island, along with grant funding from government and non-governmental sources.

The health plans also provide direct support for the practices through the Common Contract, an agreement negotiated between the health plans and the participating practices under the auspices of OHIC and EOHHS. The contract calls supplemental per member per month payments designed to drive practice transformation and quality improvement. These payments allow the practices to make structural enhancements to apply for national PCMH recognition, hire on-site care management/coordination to impact the patients with the highest needs, and enhance data capabilities to manage and improve population health.

Results

PCMHs improve health outcomes, help patients have better care experiences and reduce expensive, unnecessary hospital and emergency department visits. Here in Rhode Island, CTC-RI practices are showing that effective PCMHs truly make a difference for patients, providers and payers, as well as the entire health care system.

Are you interested in becoming a patient-centered medical home? Have you achieved medical home recognition but are looking to further transform your practice? Contact us at ctcri@umassmed.edu.