More than 60 Jefferson Health Practices Participating in Historic Public-Private Partnership to Strengthen Primary Care
Comprehensive Primary Care Plus (CPC+) Initiative Provides Additional Resources to Primary Care Practices for Care Coordination
PHILADELPHIA — More than 60 Jefferson Health practices are participating in Comprehensive Primary Care Plus (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. The partnership is designed to improve access to quality health care at lower costs.
“CPC+ takes the patient-centered medical home model to a new level,” said Anne Docimo, MD, MBA, Executive Vice President and Chief Medical Officer of Jefferson Health. “We are thrilled to have over 60 Jefferson primary care practices selected for this program which will help us further enhance our team-based, multi-disciplinary care.”
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.
As a co-founding member of Delaware Valley Accountable Care Organization, Jefferson Health, along with Main Line Health, has benefited from DVACO's commitment to population health and to transforming care coordination and the care delivery model across the Philadelphia region and beyond. DVACO has become one of the largest ACOs in the country, experiencing tremendous success in both high quality and smarter spending. For the last three years, DVACO's participating primary care practices have been on a transformation pathway which the CPC+ program will take to the next level by aligning the payment model and national best practice.
The CPC+ 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.
For more information about CPC+, visit: https://innovation.cms.gov/initiatives/comprehensive-primary-care-plus/