2018 CAPP Annual Report


Integrated or organized systems of care will drive movement toward providing superior health care for patients, combining high quality and service with affordability.


CAPP promotes the superior performance of our physician-led medical groups and health systems in providing patient-centered medical care that maximizes the quality and  duration of life and enhances the health of our patients and entire community.


  • Integrated (or coordinated) care
  • Outcomes-based payment
  • Health information technology
  • Physician leadership
  • Quality measurement

A Message from the Chairman of the Board

In 2018, the Council of Accountable Physician Practices (CAPP) and its member medical groups continued to lead and define the accountable care movement by “walking the walk” to advance accountable systems of care.

Member organizations of CAPP are participating in Medicare value-based payment programs, including inpatient bundles, “NextGen” ACOs, the Medicare Shared Savings Program, and Medicare Advantage. They are also at the forefront of new contracting arrangements between employers and integrated systems to drive “triple aim” results of better care for patients, better care for populations, and sustainable cost trends.

Our member organizations are well represented in the top seven health systems leading transformation, according to a survey of health care executives. In fact, almost every top ten list of the most admired or highest ranked medical groups will include CAPP members.

The mission of CAPP remains as relevant as ever in 2019. The leaders of CAPP medical groups and health systems recognize that the patient experience and clinical outcomes are superior in integrated systems. By describing how accountable medical groups achieve these experiences by using technologically enabled teams to drive towards better health, we aim to create more demand for true coordinated care.

As physician leaders, we are challenged to maintain momentum to continuously improve by making care delivery safer, more convenient, and more affordable. Our continued partnerships across the care delivery spectrum — from public purchasers like Medicare to private purchasers in the employer community — will help us accelerate our progress towards better care for all Americans.

Thank you for pushing the envelope and showing the way American medicine can shine in this ever changing landscape.


Stephen Parodi, MD
Chairman of the Board
The Council of Accountable Physician Practices


A Message from the Executive Director

CAPP is proud of its work to date promoting the value of coordinated and integrated care. As we scan the landscape of the ever-transitioning American healthcare system, we can see that the movement towards accountability in health care is still strong.

In 2018, CAPP continued to promote the value-based multi-specialty medical group and health system model under the leadership of our new Chairman, Stephen Parodi, MD, executive vice president of The Permanente Federation and associate executive medical director of The Permanente Medical Group. CAPP’s communications program, including our white paper primer series, has been successful in advancing multi-specialty medical groups and integrated health care systems as the model that best supports delivery of high-quality, patient-centered care.

In 2019 and beyond, CAPP will continue to find ways to elevate and focus our message with key audiences in an increasingly crowded health care space. We are excited about several new projects that will help us do just that. As the year progresses, we will keep our friends and partners informed.

As always, thank you for your continued support and dedication to physician leadership of the American health care system.


Laura Fegraus
Executive Director
The Council of Accountable Physician Practices


2018 Communications and Media Activities

CAPP’s Policy Primer Series: “Moving the Needle on Health Care Improvement”

After a positive response to What Every Candidate Should Know About Health Care in 2016, CAPP commissioned four additional primers on quality measurement, HIT, value-based payment and telehealth. These primers were developed from interviews with 12 CAPP leaders. The quality measurement primer was released in December 2017. “Moving the Needle on Interoperable Health Information Technology,” “Moving the Needle on Value-Based Payment”, and “A Roadmap to Telehealth Adoption: From Vision to Business Model,” were released in the first and second quarters of 2018.

News releases on these primers generated the following results:

Quality primer: 7,348 individual views
Health information technology: 8,078 individual views
Value-based payment: 3,836 individual views
Telehealth primer: 2,600 individual views

In addition, articles appeared in RevCycle Intelligence and AJMC (American Journal of Managed Care). A new white paper is currently in development on the “The State of ACOs and the Value-Based Payment Movement.” The paper is expected to be completed in the second quarter of 2019.

Media Relations: Direct Media Outreach

CAPP has continued to work with Scott Public Relations (Scott PR) as our media relations partner. Through its media outreach efforts, Scott PR elevates CAPP as the leading industry representatives in healthcare delivery reform, clinical integration, physician leadership and accountability.

2018 Media Placements:

Media Relations: Association of Health Care Journalists

In April 2018, CAPP exhibited for the fourth consecutive year at the Association of Health Care Journalists’ annual conference, reaching national and local health care journalists from media outlets around the country.

An on-site survey of journalist attendees found they were most likely to report on:

  • behavioral health/mental health
  • disparities in health care
  • the opioid epidemic.

They were least likely to report on:

  • predictive analytics
  • care coordination
  • managing chronic illness.

This understanding of topics that reporters are interested in helps CAPP develop media pitches.

The survey also collected opinions about reporters’ attitudes toward the state of health care. Of note this year:

  • A 23% increase in the number of reporters answering “no” to the question that health care teams are focused on prevention
  • A 22% increase in those who responded “it depends” to the question about the effectiveness of health care teams in leveraging digital tools to communicate and coordinate care
  • A 26% decrease in those who answered “no” to a question about whether or not care teams used digital tools effectively

The responses indicate that reporters are becoming more skeptical about the health care systems’ emphasis on prevention. However, the shift in responses about digital connectivity indicate a belief that the health care system is improving its use of technology-enabled care.

Of particular interest is that fact that more than 90% of reporters responding to the survey said they would like to use CAPP as a resource for stories. We will continue to leverage CAPP’s patient stories and research for our communications and media relations efforts to demonstrate our leadership in these areas.

CAPP Digital Channels

Website: Because of our focus on media relations activities, the CAPP website features pillars of accountable care with supporting evidence; CAPP research results; and a more robust newsroom and “CAPP in the News” section. It also continues to feature commentary by CAPP and AMGA physician leaders through the Accountable Docs blog. In addition, the new website promotes our videos more prominently to support social media activities.

Social Media: In 2018, CAPP increased content development for the blog and white paper sections of the website, and promoted the content through on-line news releases, Twitter (@accountableDocs) and LinkedIn. Ongoing monitoring of CAPP groups provide additional content for social media amplification.

The CAPP Report: Additionally, our quarterly newsletter, The CAPP Report, is sent to all those who have signed up on our website or through our activities (e.g., “Better Together Health”). The content of the newsletter carries commentary from CAPP leadership, promotes our media coverage, and the content from our blogs and website.

Overall CAPP Media Coverage

(Jan. – Dec. 2018)

Total number of media mentions in 2018:


Total audience:

84.6 million

unique visitors

Outreach to


national and trade media to introduce CAPP as a resource



Executive Director: Laura Fegraus

Communications: Toyomi Igus

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