Why physicians may want to apply for the CPC+ program
The unveiling of a new alternative primary care payment plan by the Centers for Medicare & Medicaid Services (CMS) comes with several considerations—financial and otherwise—for practices considering participation in the five-year program.
The 14 chosen regions that will implement the initiative, known as Comprehensive Primary Care Plus (CPC+), aims to improve the country's primary care delivery system, and includes 11 states — Arkansas, Colorado, Hawaii, Michigan, Montana, New Jersey, Ohio, Oklahoma, Oregon, Rhode Island and Tennessee.
Other regions include the Greater Kansas City area in Kansas and Missouri, the North Hudson Valley region in New York, Northern Kentucky, as well as the Greater Philadelphia area.
Wanda Filer, MD, MBA, FAAFP, president of the American Academy of Family Physicians, says her organization is actively encouraging its members to apply through the application process. Eligible practices in the 14 regions have until September 15 to submit an application to CMS for participation.
“So far, people have a very healthy curiosity,” Filer says. “I'm not hearing a lot of negatives. They appreciate this opportunity to get better financial resources for practices and to get them off that hamster wheel and be able to care for people in between face-to-face visits.”
Further reading: CMS unveils plan for new payment model
The areas selected were chosen based on support and interest from payers and practices, and will reach an estimated 5,000 primary care practices who serve around 3.5 million beneficiaries, according to CMS.
Two-track model for payments
Just like the earlier CPC initiative that launched in 2012, CPC+ practices will be paid a monthly care management fee, per beneficiary per month (PBPM). This is guided by five functions in changes to their care delivery: including access and continuity, care management, comprehensiveness and coordination, patient and caregiver coordination and planned care and population health.