CMS Comprehensive Primary Care Plus Initiative CPC+

CMS wants to pay practices a monthly fee to manage care for as many as 25 million patients in the agency's largest-ever plan to transform and improve how primary care is delivered and reimbursed. The Comprehensive Primary Care Plus (CPC+) initiative will be implemented in up to 20 regions and include up to 5,000 practices, which would encompass more than 20,000 doctors and clinicians. The program would collaborate with commercial, state, and other federal insurance plans. Since April 15, CMS has started to solicit payer proposals to partner in CPC. From there, CMS will solicit applications from nearby practices. This solicitation will take place between July 15 and Sept. 1, 2016. Advanced APM and CMS As we noted in our MACRA article on alternative payment models (APMs), CMS proposes this model is one of the six APMs of the twenty-four reviewed by CMS that met all of the criteria to be Advanced APMs. CMS argues strengthening primary care is critical to promoting health and reducing overall health care costs in the United States. CPC+ builds on the foundation of the Comprehensive Primary Care (CPC) initiative, a model tested through the Center for Medicare & Medicaid Innovation that runs from October 2012 through December 31, 2016. CPC+ integrates many lessons learned from CPC, including insights on practice readiness, the progression of care delivery redesign, actionable performance-based incentives, necessary health information technology, and claims data sharing wi...
Source: Policy and Medicine - Category: American Health Authors: Source Type: blogs