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Checking in on the Comprehensive Primary Care Plus (CPC+) Program

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Checking in on the Comprehensive Primary Care Plus (CPC+) Program

Checking in on the Comprehensive Primary Care Plus (CPC+) Program March 6, 2017

Last year, Centers for Medicare & Medicaid Services (CMS) announced the Comprehensive Primary Care Plus (CPC+) program as an advanced primary care medical home model that offers incentives to physicians for delivering comprehensive primary care – care that is more accessible, coordinated, and patient-centered.

In January, the program launched for the nearly 3,000 participating practices and recently, CMS released details for Round 2 of the program. Here is everything independent physicians need to know about the program thus far.

What is CPC+?

CPC+ aims to transform primary care through a primary care quality improvement initiative with incrementally advanced care delivery requirements. More specifically, the program will be monitored over 5 years, along 2 tracks with slightly different payment structures, with yearly milestones that progressively create a robust foundation for participating practices to provide improved patient care, and take an analytical approach to medical decision making.

Essentially, practices will undergo transformation to meet the five core goals of the program: 1) Access and Continuity; (2) Care Management; (3) Comprehensiveness and Coordination; (4) Patient and Caregiver Engagement; and (5) Planned Care and Population Health.

CPC+ is currently made up of practices of all sizes and structures in each of the 14 selected regions:

  1. Arkansas: Statewide
  2. Colorado: Statewide
  3. Hawaii: Statewide
  4. Kansas and Missouri: Greater Kansas City Region
  5. Michigan: Statewide
  6. Montana: Statewide
  7. New Jersey: Statewide
  8.  New York: North Hudson-Capital Region
  9. Ohio: Statewide and Northern Kentucky: Ohio and Northern Kentucky Region
  10. Oklahoma: Statewide
  11.  Oregon: Statewide
  12. Pennsylvania: Greater Philadelphia Region
  13.  Rhode Island: Statewide
  14. Tennessee: Statewide

The 13,090 primary care providers and the over 1.76 million Medicare beneficiaries patients in their care are uniquely positioned to experience high-quality, patient-centered care — and as part of the program, CMS has developed a payment model that closely aligns with these unique capabilities and care processes.

What’s new since the program launched?

CMS is continuing the program by announcing a new application period for a second cohort of the program to begin in January 2018. Interested practices have the opportunity to submit their proposals to participate until July 13th.  Up to 5,500 practices will be accepted across the program.

Why should independent practices care?
CPC+ has been dubbed the “largest-ever” move to change US primary care delivery and payment. Not only will independent practices have the opportunity to receive incentives for delivering exceptional primary care, physicians are laying the groundwork for transitioning to value-based reimbursement, meaning these practices will be set up for success for value-based programs like MACRA.

How can Elation help your independent practice?
Elation has long championed that phenomenal patient-centered care starts with the primary care physician and we are here to help you participate in this program.

Elation has pledged to support quality reporting for both Track 1 and Track 2 for the full 5-year duration of the program.

In addition to providing technology support for CPC+ participants, Elation is ready to equip physicians with the resources they need to succeed. From our comprehensive guide to the program to our webinars and on-demand health policy support, practices participating in the program can feel confident and focus on providing high-quality, patient-focused care.

Click here to talk to one of our health policy specialists about applying.

The statements contained on this website are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained on this website.