Building a Blueprint for Value Based Primary Care Success

Value-based payment models are reshaping the primary care landscape, requiring practices to coordinate care, measure outcomes, and manage costs in ways that traditional fee-for-service models never demanded.

To help primary care teams succeed in this evolving environment, the American Academy of Family Physicians (AAFP) created the Primary Care Information Blueprint, a framework grounded in physician interviews and informed by a national advisory group of leaders from both the public and private sectors.

The blueprint emphasizes the critical role of data sharing as a cornerstone of value-based care. Regional data entities—such as Health Information Exchanges (HIEs) and Health Data Utilities (HDUs)—are identified as essential intermediaries that foster trust and enable meaningful information exchange across organizations. By bridging payers, providers, and systems, these entities help ensure that teams have access to the patient history, care transition details, medication adherence data, and performance metrics necessary to achieve cost and quality goals.

This session, presented at the NCQA Health Innovation Summit in San Diego, CA, highlighted both the framework and real-world case studies. Karen Johnson, MPA, vice president of practice advancement at AAFP, outlined how the blueprint was developed to guide stakeholders in building stronger collaborations. Jennifer Woodward, MD, a family physician and medical director at AAFP, shared her experience working with regional payers and stakeholders through the Lewis & Clark Information Exchange to improve care quality and measurement. Daniel Chavez, MBA, executive director of SCHIO, brought more than two decades of health information exchange experience and will discuss strategies from one of the country’s most advanced multi-stakeholder HIEs.

Together, these perspectives illustrated how comprehensive data frameworks can help primary care teams overcome fragmentation and position themselves for success in value-based care models.

Reference:
NCQA Health Innovation Summit. Primary Care Information Blueprint: A Framework for Action in Value-Based Care NCQA; October 13, 2025. Accessed September 29, 2025. https://events.ncqa.org/summit2025/session/3171305/primary-care-information-blueprint-a-framework-for-action-in-value-based-care