The California Quality Collaborative updated their Advanced Primary Care Measure Set. The intro letter indicated there was some debate over the measures and I can certainly see why.
The inclusion of the nonstandard NQF measures is indicate a specific plan from the participating organizations. In this case, the people sitting around the table are the self-insured funders. They are setting the standards that the health plans will have to follow to play in the entire California marketplace. If you want access to the commercial opportunities, you must first achieve financial parity for the employers. The full set can be found here,
but it’s the testing measures that are most interesting to me right now.
I was talking to one of the data experts I know, she was noting to me that from her impression, California’s opioid overdose numbers look similar to Virginia in a very particular way. From her read, California is approaching the pattern that Virginia exhibited in 20015. She thinks that if California makes a system drastic change now, they can save many people from dying from fentanyl related poisoning. She also said if they do not, the number of people dying from fentanyl in California will seem astronomical compared to Virginia.
The thing about predicting the future is that sometimes we have to wait around 5 years to see how the program impacts outcomes.
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