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CMS Offers Additional Flexibilities and Supports to CPC+ Participants during the PHE

April 29, 2020

McDermott+Consulting

The Centers for Medicare and Medicaid Services (CMS) has implemented changes to the Comprehensive Primary Care Plus (CPC+) payment model to ensure participating providers have the supports and the flexibility necessary to provide care during the current Public Health Emergency.

CMS Offers Advance Payments for CPC+ Model Participants

CMS is offering participants in Tracks 1 and 2 of the CPC+ model the opportunity to request non-claims based payments for Q3 of 2020 in advance. These advanced payments—designed to support CPC+ providers during the COVID-19 pandemic—will be equal to the 2020 Q1 quarterly payment that practices received in January 2020.

This funding opportunity is separate from the broader CMS Accelerated and Advance Payment Program.

Changes to 2020 CPC+ Program Activities

In light of the COVID-19 outbreak, the Centers for Medicare and Medicaid Services (CMS) is instituting a series of changes to the Comprehensive Primary Care Plus (CPC+) model. Model participants were initially scheduled to report care delivery data for the first half of  2020 this summer, but CMS has now canceled the upcoming reporting window. In addition, the agency will not conduct Care Delivery and Quality Audits for Program Year 2019. Lastly, the 2020 Patient Experience of Care Survey has been delayed.

CPC+ is a national advanced primary care medical home model that aims to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation. More information about the CPC+ Model can be found here.

 

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For more information visit the McDermottPlus Payment Innovation Resource Center or contact Mara McDermott at 202-204-1462 or mmcdermott@mcdermottplus.com.

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