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California Insurers Collaborate to Launch Value-Based Primary Care Model

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A collaboration between Blue Shield of California, Aetna, and Health Net has launched the California Advanced Primary Care Initiative, aimed at improving primary care and reducing physician burnout. The initiative introduces a value-based payment model and is supported by organizations like the Purchaser Business Group on Health’s California Quality Collaborative (CQC) and the Integrated Healthcare Association (IHA). The project will be closely monitored by various entities, including CMS, with a potential for national expansion if successful. Click here for article.


  • Three major health plans—Blue Shield of California, Aetna, and Health Net—are leading a value-based payment initiative to improve primary care.

  • The model includes multiple payment tracks, offering incentives based on performance outcomes, with potential payouts up to 30% higher.

  • A unified data platform will reduce administrative burdens and provide real-time insights for physicians to address care gaps.

  • The demonstration project will be evaluated in 2026, with potential scaling beyond California depending on its success.

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