Comprehensive Primary Care Plus (CPC+) Model
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CPCplus@cms.hhs.gov
Comprehensive Primary Care Plus (CPC+) is an advanced primary care medical home model designed to strengthen primary care through a regionally-based multi-payer payment reform and care delivery transformation. The goal of CPC+ is to improve the quality of care, improve patients' health, and spend healthcare dollars more wisely.
Participating practices will fall within two tracks. Each track will implement CPC+ Practice Care Delivery Requirements in the following primary care functions:
- Access and continuity
- Care management
- Comprehensiveness and coordination
- Patient and caregiver engagement
- Planned care and population health
Participants in this round will begin January 1, 2018.
Eligible applicants are primary care practices located in the 14 regions as described in the CPC+ Participating Regions list.
Specific eligibility requirements for participation in each track may be found in the application instructions.
CPC+ includes three payment elements:
- Care management fee - paid quarterly to both Track 1 and Track 2 participants and adjusted to account for the intensity of care management services required for the specific population served by each practice
- Performance-based incentive payment - based on performance in patient experience, clinical quality, and utilization measures
-
Payment under the Medicare Physician Fee
Schedule
- Track 1 participants continue to bill Medicare Fee for Service (FFS) as usual.
- Track 2 participants continue to bill as usual, but the FFS payment will be reduced to account for shifting a portion of Medicare FFS payments into Comprehensive Primary Care Payments (CPCP), which will be paid quarterly in a lump sum.
Links to additional guidance are available on the program website.
For complete information about funding programs, including your
application status, please contact funders directly. Summaries are provided
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or monitor application status.