This policy brief from the Center for Health Care Strategies recommends the funding and support of physician support entities through the Medicaid program. With Medicaid poised to absorb 16 to 20 million additional beneficiaries in 2014 as a result of the Patient Protection and Affordable Care Act (ACA), the imperative to improve primary care capacity for Medicaid populations has never been stronger.
Physician-support entities (PSEs) offer an emerging opportunity to enhance the capabilities of evolving physician networks. PSEs can be based on physician, health plan, or community organizations that form to provide quality improvement, performance measurement, health information technology, care management, and leadership support to practices. PSEs can also serve as building blocks to help establish more organized Accountable Care Organizations.