Home How Oregon City Family Practice Used PRIME Registry to Turn Quality Care into Quality Scores Phoenix Newsletter - June 2026 How Oregon City Family Practice Used PRIME Registry to Turn Quality Care into Quality Scores Small independent practices are delivering quality care every day. But when payers can only see claims data, much of that care goes uncounted. See how Oregon City Family Practice used the PRIME Registry to make their clinical performance visible and capture the financial value of care they were already giving. June 17, 2026 The family physicians at Oregon City Family Practice (OCFP) knew they were delivering good care. Their payer scores said otherwise. OCFP has served its community for over 80 years, caring for patients across suburban Portland and deep into rural Clackamas County — where it’s often the only option for miles. Chronic conditions were being managed, preventive care delivered, referrals going out. Yet quality incentive revenue was under $10,000 per year. The numbers didn’t add up. The problem was structural. Payers evaluated the practice almost entirely on claims data — they could only count care they had paid for. A patient with a colonoscopy three years ago under previous insurance was being flagged as a gap in care, even when the documentation was sitting in the EHR. That’s exactly the problem PRIME Registry was built to solve. As the largest national Qualified Clinical Data Registry for primary care, PRIME connects directly to a practice’s EHR and calculates performance scores based on what actually happened in the exam room — not what appeared on a billing statement. Getting PRIME Running Implementation wasn’t straightforward. OCFP’s Epic system was hosted through a larger health system, and competing organizational priorities created delays stretching beyond a year. Julia Pulliam, PA-C, who led the initiative and completed a doctoral dissertation on the project, pursued an alternative path through Epic’s Database Certification and Direct Access Accreditation — giving the practice the ability to pull and submit its own data independently. It was more complicated than hoped, but it worked. PRIME’s flexibility allowed OCFP to begin capturing value while the longer-term pipeline was completed. The Results The impact was substantial. OCFP’s quality star rating rose from 2.11 to 4.0. Quality incentive revenue from a single payer increased 104 percent, producing over $280,000 in 2024 incentive payments and a return on investment of 1,746 percent. Projected across the full Medicare Advantage population, the potential impact exceeded $1 million. These gains weren’t the result of delivering better care — the care had always been high quality. They came from finally having the infrastructure to communicate that quality to the systems responsible for paying for it. As Pulliam put it: “The data problem is the gap between care delivered and care counted.” What’s Next Now part of the largest independent primary care group on the West Coast, OCFP is turning its attention to its diabetic population, where high-value quality measures offer both strong reporting opportunity and meaningful patient impact. MIPS reporting through PRIME is also on the near-term roadmap, along with tools like CareGap and PHATE to identify patients not currently being reached. For independent practices facing similar pressures, the lesson is straightforward: the quality is likely already being delivered, and the data already exists in the EHR. PRIME provides the infrastructure to surface it, report it, and ensure practices get credit for the care they’re already giving. ABFM thanks Julia Pulliam, PA-C, and the team at Oregon City Family Practice for sharing their experience.
