Primary Care Payment Reform Collaborative

House Bill 19-1233 established a Primary Care Payment Reform Collaborative (the Collaborative) led by the Colorado Division of Insurance (DOI).

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Created through House Bill 19-1233 and convened by the DOI, part of the Department of Regulatory Agencies (DORA), the Collaborative has been meeting since July of 2019 to develop recommendations aimed at increasing investments in high-quality primary care. The Collaborative focuses on developing strategies for increased investments in primary care that deliver the right care, in the right place, at the right time, and advises the DOI in the development of affordability standards and targets for health insurance company investments in primary care. The Collaborative further advances strategies that: 

• Reduce health care costs resulting in net savings;
• Are evidence-based and provide incentives for value rather than volume;
• Are adequate to sustain infrastructure to deliver advanced primary care that is patient-centered, comprehensive, coordinated, and accessible;
• Direct resources to the patient and practice level that expand the capacity of the primary care system to equitably meet the health needs of patients; and
• Sustain advanced primary care delivery models.

2026 Meeting Schedule for the Primary Care Payment Reform Collaborative

Until further notice, all Collaborative meeting will be REMOTE ONLY. Reasonable accommodation will be provided upon request for persons with disabilities. If you are a person with a disability who requires an accommodation to participate in a Collaborative meeting, please notify Tara Smith at 720-701-0081 or tara.smith@state.co.us at least one week prior to the meeting.  

Please register for upcoming meetings in 2026 using the following link: 

Register for 2026 Collaborative Meetings

NOTE: The registration link for PCPRC meetings was updated on August 8, 2025 - if you registered  prior to this date, you will need to register again to have the correct login information. 

April 9, 2026

PCPRC Meeting Agenda - 4.9.26

A Framework for Evaluating Primary Care Investment - Milbank Memorial Fund, 3.30.26

The State of Primary Care – How Well Your State is Delivering Primary Care - PCC, March 2026

Optimizing Quality Measures to Advance Behavioral Health Integration - NASHP 3.23.26

Who Can See Their PCP? - NOS Episode 3.8 - NEJM, 12.29.25

March 12, 2026

PCPRC Meeting Agenda - 3.12.26

PCPRC Slide Deck - 3.12.26

Investing in Primary Care: The Missing Strategy in America’s Fight Against Chronic Disease - Milbank Memorial Fund - 2.12.26

A Five-State All-Payer Claims Database Collaboration: Onpoint Health Data’s Multi-State Behavioral Health Initiative - Milbank Memorial Fund 1.26.26

Health of Primary are in California Annual Snapshot - report showing CA's approach to tool to monitor primary care in the state

Private Equity Acquisition of Primary Care Practices- Modest Growth in Clinicians Offset by Increased Clinician Exits - Health Affairs, March 2026

Medicare Alternative Payment Models That Support Improved Primary Care - Commonwealth Issue Brief, 2.26.26

Value-Based Payments Are Catching On, but Rural and Small Practices Lag - Commonwealth Issue Brief, 3.3.26

February 12, 2026

PCPRC Meeting Agenda - 2.12.26

PCPRC Slide Deck - 2.12.26

DRAFT PCPRC Meeting Minutes - 2.1.26

PCPRC Seventh Annual Recommendations Report - Final Draft for Approval

January 8, 2026

PCPRC Meeting Agenda - 1.8.26

PCPRC Slide Deck - 1.8.26

DRAFT Meeting Minutes - 1.8.26

PCPRC Seventh Annual Recommendation Report - Working Draft 1.6.26

In addition to focusing on the development of strategies for increased investments in primary care leading to delivery of the right care in the right place at the right time, the Collaborative also works with various groups and organizations, while developing other recommendations and reports regarding primary care. At a high level, the Collaborative engages in the following:

• Consult with the Department of Personnel, the Department of Health Care Policy and Financing (HCPF), and the Colorado All-Payer Claims Database (APCD);
• Advise in the development of broad based affordability standards and targets for carrier investments in primary care;
• Coordinate with the APCD to analyze the percentage of medical expenses allocated to primary care by insurers, Health First Colorado (Colorado’s Medicaid Program), Children’s Health Plan Plus (CHP+);
• Develop a recommendation to the Insurance Commissioner on the definition of primary care for these purposes;
• Report on current health insurer practices and methods of reimbursement that direct greater health care resources and investments toward health care innovation and care improvement in primary care;

• Identify barriers to the adoption of alternative payment models by health insurers and providers and develop recommendations to address these barriers;
• Develop recommendations to increase the use of alternative payment models that are not fee-for-service in order to:
  • Increase investment in advanced primary care delivered by practices that are Patient Centered Medical Homes or practices that have demonstrated ability to provide high-quality primary care;
  • Align primary care reimbursement by all consumers;
  • Direct investment toward higher-value primary care services with an aim at reducing health disparities;
• Consider how to increase investment in advanced primary care without increasing costs to consumers or increasing the total cost of health care; and
• Develop and share best practices and technical assistance to health insurers and consumers.

Participants in the Collaborative are asked to commit 4-6 hours per month. Additional information regarding the Collaborative's administrative operations are outlined in the Primary Care Payment Reform Collaborative's Standard Operating Procedures and Rules of Order.

Current Collaborative Members

Polly Anderson - Health Care Provider, Denver Metro Area

Josh Benn - Colorado Department of Personnel and Administration

Erin McCreary - Health Care Consumer, Colorado Springs

Britta Fuglevand - Colorado Department of Health Care Policy & Financing

Risha Gidwani - Actuarial Expertise, Denver Metro Area

Patrick Gordon - Health Insurer Representative, Western Slope

Steve Holloway - Colorado Department of Public Health & Environment

Lauren Hughes - Health Care Provider, Denver Metro Area

Alexandra Hulst - Health Care Provider, Western Slope

Rajendra Kadari - Health Care Provider, Denver Metro Area

Cassana Littler - Primary Care Provider, Denver Metro Area

Amanda Massey - Health Insurer, Denver Metro Area

Christina Mulkey - Health Care Provider, Denver Metro Area

Kevin McFatridge - Health Insurer, Denver Metro Area

Dana Pepper - Health Insurer, Denver Metro Area

Amy Scanlan - Health Care Provider, Denver Metro Area

Mannat Singh - Health Care Consumer, Denver Metro Area

Gretchen Stasica - Health Insurer, Denver Metro Area

Kevin Stansbury - Health Care Provider, Eastern Slope

Jack Teter - Health Care Provider, Denver Metro Area

For more information about the Collaborative, contact Tara Smith, Primary Care and Affordability Director - tara.smith@state.co.us; 720-701-0081.