Primary Care Network Archive

The Milbank Memorial Fund supported two now-archived primary care networks: the Multipayer Primary Care Network and the Medicaid Transformation Network.

For over a decade, the Multipayer Primary Care (MPC) Network provided a forum for members involved in multipayer primary care transformation to share data, participate in collaborative learning, and advocate for improved collaboration between the states and the federal government on new and ongoing initiatives. Payers in 30 states or regions were represented at various times, with a maximum 150 participants (~60 active).  The MPC was disbanded in February 2024. Given the dwindling number of participants due to lower payer involvement in CMMI Primary Care models and our sharper focus on historically marginalized and underserved populations, this decision was consistent with the Fund’s new focus on health equity.

The MPC supported the following Center for Medicare and Medicaid Innovation Center (CMMI) primary care models:

  • Multipayer Advanced Primary Care Practice Demonstration (2011-2016)
  • Comprehensive Primary Care Initiative (2012-2016)
  • Comprehensive Primary Care Plus (2017-2022)
  • Primary Care First (2020-present)

The Medicaid Transformation Network was a voluntary collaborative of State Medicaid Agencies actively engaged in multipayer efforts to create and sustain high-quality primary care for their citizens.  It focused on multipayer value-based payment and on measuring progress towards health equity goals.

The participating states included Arkansas, Connecticut, Maryland, North Carolina, Oregon, Virginia, Vermont and Washington, represented by approximately 20 State Medicaid Agency leaders.

The network was disbanded in December 2023, when the Milbank Making Care Primary (MCP) Network was established at the request of CMMI leadership.

Primary Care Networks

Resource Types

Current Topics

Publication

Defining the State Role in Primary Care Reform

May 2024
Lauryn Walker, Lisa Dulsky Watkins and Christopher F. Koller
States should consider six key activities to prioritize resources and use their authority most effectively. More

Publication

It Takes Two to Tango: Creating an Effective State–Federal Partnership for Primary Care Reform

May 2024
Lauryn Walker, Shannon Dowler, Barbra Rabson and Bob Rauner
This brief provides seven recommendations for how the federal government can support states in their primary care reform efforts. More

News Article

No appointments available: America’s escalating primary care shortage

April 2024
Christopher F. Koller
In an April 15, 2024, Opinion in Healthcare Dive, Christopher Koller, president of the Milbank Memorial Fund; Kyu Rhee, president and CEO of the National Association of Community Health Centers; and R. Shawn Martin, executive vice president and CEO of the American Academy of Family Physicians, explain that chronic disinvestment and inadequate training have created a shortage of primary care workers. More

Blog Post

Improving Primary Care Access When You Can’t Wait for Policy Change

March 2024
Christopher F. Koller
Ed McGookin had a big problem.  Coastal Medical, the 150-physician medical group in Rhode Island that he leads, was facing more competition for a smaller pool of primary care physicians finishing their residencies in 2022. Now it was losing four physicians to early retirement in December of that year. He had to find new medical […] More

Publication

Considerations for Statewide Advanced Primary Care Programs

March 2024
Howard Haft and Craig Jones
In this report, we share insights gained from our experience working with CMMI on innovative state-led primary care programs in Vermont and Maryland, presenting key elements of approaches to invest new primary care dollars. More

Publication

Testimony: How Primary Care Improves Health Care Efficiency

March 2024
Christopher F. Koller
Invited testimony by Milbank Memorial Fund President Christopher Koller at the US Senate Budget Hearing on How Primary Care Improves Health Care Efficiency. More

Publication

The Health of US Primary Care: 2024 Scorecard Report — No One Can See You Now

February 2024
Yalda Jabbarpour, Anuradha Jetty, Hoon Byun, Anam Siddiqi, Stephen Petterson and Jeongyoung Park
This year’s Scorecard report assesses the health of primary care at the federal level using measures of access, financing, workforce/training, and research More

News Article

The 2024 Primary Care Scorecard Webinar

February 2024
Christine Haran
Primary care is the foundation of the US health care system. Yet more and more people report not having a regular place for care. In the second annual Health of US Primary Care Scorecard, Robert Graham Center researchers give five reasons for why access to primary care is worsening. On February 28, the Milbank Memorial […] More

Publication

Capturing Primary Care Delivery: A Versatile Approach to Identifying Primary Care in Claims Data

December 2023
Jonathan Staloff, Max Birger, Lingmei Zhou, Ashok Reddy, Christopher Chen, Judy Zerzan-Thul and Joshua M. Liao
A new versatile, three-step approach to identifying primary care services in claims data incorporates information about clinician, organization, and facility types and better reflects real-world practice. More

Blog Post

New U.S. Health and Human Services Brief on Primary Care Offers Commitments but Leaves Questions Unanswered

November 2023
Christopher F. Koller
A new U.S. Department of Human Services (HHS) issue brief on primary care is a helpful step towards a comprehensive commitment to addressing these problems that catalogs the Biden Administration’s efforts to strengthen primary care. More