Comprehensive Primary Care Model

CMS has opened the application period for physician practices interested in participating in its new primary care model, Comprehensive Primary Care Plus (CPC+), which is intended to improve how primary care is delivered and reimbursed. CMS also announced that the following 14 regions have been selected to participate in CPC+ (statewide unless otherwise noted): Arkansas;

CMS has launched a new “Comprehensive Primary Care Plus” (CPC+) model to improve how primary care is delivered and reimbursed. According to CMS, the CPC+ initiative (which builds on the ongoing Comprehensive Primary Care model) will provide “greater cash flow and flexibility for primary care practices to deliver high quality, whole-person, patient-centered care and lower the use of unnecessary services that drive total costs of care,” which in turn will result in a healthier patient population.

Through the five-year CPC+ model, Medicare and commercial and state payers will partner in up to 20 regions to support eligible practices as they change how they delivery care, focusing on (1) Access and Continuity; (2) Care Management; (3) Comprehensiveness and Coordination; (4) Patient and Caregiver Engagement; and (5) Planned Care and Population Health. CMS expects that the model will include up to 5,000 practices with more than 20,000 doctors and clinicians serving 25 million beneficiaries.

Practices can apply to participate in one of two tracks with different payment options and clinical capability requirements, as summarized in the following CMS chart:Continue Reading CMS Announces Major Multi-Payer Comprehensive Primary Care Plus (CPC+) Model