Care coordination, data fuel new CMS primary care quality program

The federal government on Monday announced the launch of what it calls the largest ever multi-payer initiative to improve the quality of primary care across the country.

The Comprehensive Primary Care Plus (CPC+) initiative will include two primary care practice tracks with "incrementally advanced care delivery requirements and payment options" to suit practices' different needs, according to the Centers for Medicare & Medicaid Services (CMS).

CPC+ will integrate many aspects of the original CPC initiative, including insights on practice readiness, the progression of care delivery redesign, actionable performance-based incentives, necessary health information technology and claims data sharing with practices.

The new model will bring together CMS, commercial insurance plans and state Medicaid agencies to provide the financial support for changing the delivery system.

CMS says the model will help primary care practices:

  • support patients with serious or chronic diseases to achieve their health goals
  • give patients 24-hour access to care and health information
  • deliver preventive care
  • engage patients and their families in their own care
  • work with hospitals and other clinicians to provide better coordinated care

CMS aims to roll out the program in January 2017.

To learn more:
- read the CMS announcement 
- here's a fact sheet about CPC+