CMS Announces Its Largest Primary Care Model Tying Quality Care to Reimbursement

May 13, 2016 | Strategic Insights for Ambulatory Care


​The Centers for Medicare and Medicaid Services (CMS) announced its largest-ever program to improve primary care delivery and reimbursement, which will be implemented in as many as 5,000 practices and could include 20,000 providers and 25 million patients. The Comprehensive Primary Care Plus (CPC+) model is designed to move away from a one-size-fits-all approach and instead give clinicians more freedom to deliver care that they believe best meets their patients' needs. Primary care practices can participate in one of two tracks, both of which will require practices to support patients with serious or chronic conditions in achieving their health goals, give patients around-the-clock access to care and health information, deliver preventive care, engage patients and families in their own care, and collaborate with hospitals and other clinicians to provide coordinated care.

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