macra

CPC+ First Annual Report Posted

May 15, 2019

McDermott+Consulting

The Centers for Medicare and Medicaid Services (CMS) released the first annual report of the Comprehensive Primary Care Plus (CPC+) payment model. CPC+ is the largest primary care payment and delivery reform ever tested in the US. In January 2017 it was initially established in 14 regions across the US and then expanded to an additional four regions in 2018. CMS also partnered with 79 public and private payers across the 18 CPC+ regions. 3,070 primary care practices joined CPC+.

Key takeaways from the report documented in the Findings at a Glance document are:

  • The median practice received CPC+ care management fees of over $88,000 per Track 1 and $195,000 per Track 2 practice, on top of traditional payments.
  • Many CPC+ practices focused on risk stratifying patients, hiring and deploying care managers, and integrating behavioral health into primary care in 2017.
  • Nearly all practices (93 percent) reported that CPC+ improved quality of care. However, many practices found meeting the care delivery, financial reporting and health IT requirements to be burdensome.
  • There were few, very small differences in service use and quality-of-care outcomes or total Medicare expenditures without enhanced CPC+ payments. When including enhanced payments CMS made to practices for participating in CPC+, expenditures for Medicare fee-for-service beneficiaries were two to three percent higher for CPC+ practices than for comparison practices.

 


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at 202-204-1459 or smadhani@mcdermottplus.com or Mara McDermott at 202-204-1462 or mmcdermott@mcdermottplus.com.

 

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