Payment Matters: CMS Announces Comprehensive Primary Care Initiative


On August 22, CMS announced its selection of 500 primary care practices for inclusion in the Comprehensive Primary Care (CPC) initiative. The CPC initiative involves multiple payment sources, including commercial health plans, and is designed to increase the financial resources available to primary care doctors in order to allow for better coordination of patients' care. The participants in the CPC initiative include primary care practices serving the following regions (links to lists of the participating practices in each region): Arkansas, Colorado, New Jersey, Oregon, New York (Capital District-Hudson Valley Region), Ohio & Kentucky (Cincinnati-Dayton Region) and Oklahoma (Greater Tulsa Region).

The CPC initiative establishes a service delivery model that includes a uniform set of functions to be supported by the participating payers: (1) manage care for patients with high health care needs; (2) ensure access to care; (3) deliver preventative care; (4) engage patients and caregivers; and (5) coordinate care across the "medical neighborhood" (i.e., among the various primary and nonprimary care providers serving the patient). Physicians will initially receive a monthly per beneficiary payment for participating in the CPC initiative, and will eventually have the opportunity to share in the total Medicare savings for their markets.

Please see full alert below for more information.

LOADING PDF: If there are any problems, click here to download the file.

Written by:

Published In:

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Ober|Kaler | Attorney Advertising

Don't miss a thing! Build a custom news brief:

Read fresh new writing on compliance, cybersecurity, Dodd-Frank, whistleblowers, social media, hiring & firing, patent reform, the NLRB, Obamacare, the SEC…

…or whatever matters the most to you. Follow authors, firms, and topics on JD Supra.

Create your news brief now - it's free and easy »

All the intelligence you need, in one easy email:

Great! Your first step to building an email digest of JD Supra authors and topics. Log in with LinkedIn so we can start sending your digest...

Sign up for your custom alerts now, using LinkedIn ›

* With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name.