Comprehensive Primary Care Plus (CPC+)

Comprehensive Primary Care Plus (CPC+) 

The Center for Medicare & Medicaid Innovation recently released information about a new care model called Comprehensive Primary Care Plus (CPC+), which succeeds the Comprehensive Primary Care initiative running from October 2012 through the end of 2016.

CPC+ provides financial incentives for practices to make fundamental changes in their care delivery through two primary care practice participation tracks. Additional advanced care delivery requirements and payment options are included in the second track. The program begins in January 2017 and runs for five years. CPC+ is only available in certain states and regions. To participate, eligible practices located in the participation areas must apply no later than the September 15 deadline.

Your practice can benefit from participating in CPC+ in multiple ways, which include:

• Qualifying for the Advanced Alternative Payment Models track of the Quality Payment Program, which allows eligible clinicians to skip reporting for the Merit-Based
• Incentive Payment System after the first participation year.
• Ongoing learning activities throughout the year for care transformation.
• Higher payments due to new fee elements.

Providers participating in CPC+ receive multiple payments, including:

• A care management fee (CMF). This is a flat fee per patient each quarter, regardless of a claim. Track 1 pays an average of $15 CMF, which is added to the fee-for-service payment.
• A performance-based incentive payment based on utilization of quality components.
• Payment under the Medicare Physician Fee Schedule.

Interested practices should review the reporting requirements listed in the Request for Applications and apply. For more details, please contact 305-227-2383 or 1-877-938-9311.