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Building a network of high-performing primary care practices is the focus of Better Health Partnership’s health care transformation work.

Better Health supports the evidence-based Patient Centered Medical Home model and the important role it plays in improving care and outcomes for patients with high blood pressure, diabetes and heart failure. Nearly 70 of Better Health's primary care practices are recognized "medical homes."

Successful implementation of PCMH goes a distance beyond core requirements for PCMH designation from a national accreditation organization. Better Health practices publicly report their achievement on nationally recognized standards for important chronic conditions, participate in shared learning activities and access onsite assistance to optimize care and outcomes of patient subpopulations.

Better Health activities align with the state of Ohio's health transformation initiatives that are underway across the state. The state's goal is that 80% of Ohio's population will have access to patient-centered primary care and 80-90% of Ohioians receive health care that is paid for based on value – that is, accountable for both quality and cost.

The PCMH care delivery model increasingly is paired with health insurer partners to support new payment mechanisms that enable and incentivize patient care activities that are vital for complex patients but unfeasible in a fee-for-service setting. Better Health's Red Carpet Care program – which addressed so called "Super-Utilizer" patients is one example of a payer-provider partnership that delivered better care at lower costs.