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07/22/2017 08:43 PM
Pennsylvania House of Representatives
http://www.legis.state.pa.us/cfdocs/Legis/CSM/showMemoPublic.cfm?chamber=H&SPick=20170&cosponId=24011
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House of Representatives
Session of 2017 - 2018 Regular Session

MEMORANDUM

Posted: May 26, 2017 01:58 PM
From: Representative Matthew E. Baker
To: All House members
Subject: Direct Primary Care Model Legislation
 
Health care services in the United States are constantly evolving. These models can be driven by complex diseases which require the coordination of care of many physician specialists, such as the patient centered medical home model, or can be the result of a desire to provide quality care at a fixed price such as the managed care model.

Recently, states have begun to explore the Direct Primary Care (DPC) model. DPC is an innovative alternative payment model embraced by patients, physicians, employers and payers. The primary element in the DPC model is an enduring and trusting relationship between the patient and a primary care provider. In the DPC the fee-for-service model is replaced with a set monthly fee, with both the patient and the provider incentivized to seek the most appropriate treatment regime in the fewest visits, without dis-incentivizing the patient from seeking primary care throughout the year.

Sixteen states have already moved to clear the hurdles which would prevent the implementation of a DPC model. In the near future, I intend to introduce legislation which would add the Commonwealth to those states who allow the use of the DPC model. The legislation is not intended to encourage the use of the DPC model, but rather simply remove the barriers to entry for those providers who seek to provide these services to their patients.

This legislation is strongly supported by the Pennsylvania Family Physician Association consisting of approximately 5,000 family physicians.

Please join me and cosponsor this legislation.