DPCS Medicaid Pilot

doctor_patient“Improve quality of care and reduce overall healthcare costs”

The Opportunity: Medicaid is the single largest item in the Michigan state budget at $17.5 billion. Roughly one in four of Michigan’s 10 million residents are enrolled in Medicaid. If Direct Primary Care Services were fully deployed in support of Medicaid enrollees, the state could free up to $3.4 billion per year from its $54.5 billion state budget and provide improved and more accessible healthcare services to the Medicaid population.

The Proposal: As part of the FY17 Michigan budget process, Senator Colbeck has proposed a Pilot Project that would enroll 2,400 Medicaid recipients in Direct Primary Care Services. The DPCS healthcare model would eliminate the need for government and private sector involvement between a doctor and patient for primary care services. Individuals would still be covered by “wraparound” insurance for all services not specific to primary care.

The success of the pilot is based on a reduction in the number and severity of claims (i.e. patients are healthier). The pilot objective is to reduce the number of catastrophic claims by 50%.

Learn More about the Pilot

Read:

Watch:

Additional Links:

DPCS Pilot in the FY17 Michigan Budget Process:

In the Senate

DPCS Pilot Boilerplate (Sec. 1880) – as it appears in the current version of the Senate Appropriations Subcommittee for Health and Human Services Budget

In the House 

DPCS Pilot Boilerplate (Sec. 1701) – as it appears in the current version of the House Appropriations Subcommittee for Health and Human Services Budget