California Advanced Primary Care Initiative

PBGH’s California Quality Collaborative (CQC) has been working for over a decade to improve primary care. Through stakeholder partnership, this work has culminated in the development of shared attributes and measures that enable purchasers, health plans and providers to identify primary care practices in a given market that are delivering the kind of care research tells us will bring about the best results for patients.

The California Advanced Primary Care Initiative, a joint effort by CQC and the Integrated Healthcare Association (IHA), is a continuation of that effort to strengthen the primary care delivery system throughout the state by building and scaling a primary care model that emphasizes comprehensive, team-based and person-focused care, the integration of behavioral and physical health services and high-quality outcomes.

Multi-Payer Alignment

CQC and the IHA convened a coalition of large commercial health care payers to work together to enable primary care practices to transform to a high-performing, value-based care model that reduces costs and improves quality and equity. The payers currently participating are Aetna, Aledade, Anthem Blue Cross, Blue Shield of California and Health Net.

These payers have signed a memorandum of understanding (MOU) committing to this coordinated effort through 2025. The MOU has four areas of focus:

1. Transparency: Report primary care investment, adoption of value-based payment models that support the delivery of advanced primary care and performance on the Advanced Primary Care measure set jointly developed by CQC and IHA.

2. Payment: Adopt an agreed upon value-based payment model for primary care providers that offers flexibility, supports team-based care delivery and incentivizes the right care at the right time.

3. Investment: Collaboratively set increased primary care investment quantitative goals without increasing the total cost of care.

4. Practice Transformation: Provide technical assistance to primary care practices working to implement clinical and business models for success in value-based payment models, integration of behavioral health and reduction of disparities.

Additional payer organizations are encouraged to sign onto the MOU and join this effort. Contact Lindsay Petersen to learn more.



Lindsay Petersen
Senior Manager, Advanced Primary Care


Payment Model Demonstration Project (2024-2025)

Read More about Payment Model Demonstration Project (2024-2025)

The Payment Model Demonstration Project will test a common value-based payment model with approximately 30 independent practices in California to strengthen primary care delivery.

Advanced Primary Care Measurement Pilot (2022-2023)

Read More about Advanced Primary Care Measurement Pilot (2022-2023)

The measurement pilot tested the effectiveness of the Advanced Primary Care Measure Set and practice performance in California.


Issue Brief: Capitated Payment for Primary Care in Self-Funded Health Insurance Arrangements in California

Common Value-Based Payment Model Guide for Primary Care Physicians & Payers

California Advanced Primary Care Initiative | 2023 End-of-Year Report

Issue Brief: Recommendations to Advance Equity Through Payment Models

Issue Brief: Measuring Advanced Primary Care in California

California Advanced Primary Care Roadmap

Charter, Goals and Milestones

California Advanced Primary Care Initiative Overview

Webinar: The Future of Primary Care in California

MOU Among California Payers in Support of Multi-payer Partnership

The Journey to Advanced Primary Care

Advanced Primary Care Measurement Pilot

Advanced Primary Care Measure Set

Advanced Primary Care: Defining a Shared Standard

Past Events and Training

December 7, 2023

Measuring Advanced Primary Care in California: Pilot Results and the Path Forward

Join this CQC webinar to hear results and stakeholder reactions to the California Advanced Primary Care Measurement Pilot and explore the best next steps for the California health care system.

March 30, 2022

CQC Webinar – Advanced Primary Care: Piloting Practice Level Measurement

A webinar describing the next step in California’s journey to scale high quality, efficient and patient-centered primary care, also known as Advanced Primary Care (APC).