Initiative Provides Primary Care Practices with Additional Resources to Improve Coordination of Care
R-Health, a leader in innovative healthcare solutions, today announced that 11 value-based practices supported by R-Health were accepted into the Comprehensive Primary Care Plus program (CPC+), a partnership between payer partners from the Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, commercial health plans, self-insured businesses, and primary care providers.
R-Health, through the company’s accountable care service division, supported 11 local practices to apply for the program and all were accepted. Each of these practices are part of one of R-Health’s accountable care organizations, Care is Primary ACO or ACCO.
These local Philadelphia area practices include:
- Founders Medical (Philadelphia, PA)
- Greenhouse Internists, P.C. (Philadelphia, PA)
- S. Peter Gross, DO P.C. (Philadelphia, PA)
- LMG Family Practice, PC (Chalfont, PA)
- Medical Group at Marple Commons (Broomall, PA)
- Mt Airy Family Practice (Philadelphia, PA)
- Ninth Street Internal Medicine Associates Ltd (Philadelphia, PA)
- North Willow Grove Family Medicine, P.C. (Willow Grove, PA)
- PIM Associates PC (Jenkintown, PA)
- Radnor Family Practice (Radnor, PA)
- Ritner Medical (Philadelphia, PA)
These practices join the more than 2,900 primary care practices nationwide participating in CPC+. This partnership is designed to provide improved access to quality health care at lower costs.
“A robust primary care system is essential to achieve better care, smarter spending, and healthier people,” said Acting CMS Administrator Patrick Conway. “For this reason, CMS is committed to supporting primary care clinicians to deliver the best, most comprehensive primary care possible for their patients.”
Through CPC+, CMS will pay primary care practices a care management fee, initially set at an average of $15 per beneficiary per month in Track 1 and $28 per beneficiary per month in Track 2, to support enhanced, coordinated services on behalf of Medicare fee-for-service beneficiaries. Simultaneously, participating commercial, state, and other federal insurance plans are also offering enhanced payment to primary care practices designed to support them in providing high-quality primary care on behalf of their members.
For patients, this means that physicians may offer longer and more flexible hours; use electronic health records; coordinate care with patients’ other health care providers; better engage patients and caregivers in managing their own care; and provide individualized, enhanced care for patients living with multiple chronic diseases and higher needs.
The five-year model started on January 1, 2017, with CMS soliciting a diverse pool of commercial health plans, state Medicaid agencies, and self-insured businesses to work alongside Medicare to support comprehensive primary care. Public and private health plans in 14 regions across the country signed letters of intent with CMS to participate in this model: Arkansas, Colorado, Hawaii, Kansas and Missouri’s Greater Kansas City region, Michigan, Montana, New Jersey, New York’s Capital District-Hudson Valley region, Ohio and Kentucky’s Cincinnati-Dayton region, Oklahoma, Oregon, Pennsylvania’s Greater Philadelphia Region, Rhode Island, and Tennessee. The markets were selected in August 2016 based on the percentage of the total population covered by payer partners who expressed interest in joining this partnership.
Eligible primary care practices in each market were invited to apply to participate in the winter of 2016. Through a competitive application process, CMS selected primary care practices within the selected markets to participate in CPC+. Practices were chosen based on their use of health information technology; ability to demonstrate recognition of advanced primary care delivery by leading clinical societies; service to patients covered by participating payer partners; participation in practice transformation and improvement activities; and diversity of geography, practice size, and ownership structure.
CPC+ is administered by the Center for Medicare & Medicaid Innovation (CMS Innovation Center). The CMS Innovation Center was created by the Affordable Care Act to test innovative payment and service delivery models that have the potential to reduce program expenditures while preserving or enhancing the quality of care.
In addition to supporting the application process, R-Health will assist each of the practices in implementing and managing their participation in the program. This will include reporting requirements, data analytics, workflow re-design, and best practices for care management.
“The CPC+ program recognizes the importance of primary care and re-empowering primary care leads to healthier patients and better outcomes,” said Nancy Meisinger, R-Health’s Vice President of Clinical Performance. “We are proud to partner with these local practices as we help them continue their transformation to value-based care delivery.”
For more information about CPC+, visit: https://innovation.cms.gov/initiatives/comprehensive-primary-care-plus/