Comprehensive Primary Care Initiative (CPCI)
On September 28, 2011 the CMS Innovation Center announced a new 4 year initiative intended to foster collaboration between public and private health care payers to strengthen primary care in the U.S. the Comprehensive Primary Care (CPC) Initiative. The CPC initiative extends and builds upon the patient-centered medical home (PCMH) concept to include payment reform to support practice transformation.
Eligibility and How to Apply
Applications from primary care practices are currently being accepted. The primary care practice solicitation describes the initiative eligibility and selection. Interested practices must first complete the Application Pre-Screening tool to receive further instructions on how to apply. If your primary care practice has multiple sites, each physical site that is located in the selected market is eligible to apply and must apply separately.
All applications must be submitted by 5:00 pm ET on July 20, 2012.
Learn how to participate in the new Medicare Comprehensive Primary Care Initiative happening in your community: Conference call series the week of June 25.
In this initiative, primary care practices will receive new, public, and private funding for primary care functions not included in the fee-for-service payments and will have the opportunity to share net savings generated through the program. Private payers and Medicaid are joining with Medicare to support comprehensive primary care, provided that selected practices demonstrate capabilities aligned with the PCMH model. In the spring of 2011, CMS announced the first seven market areas, participating payers, and are now accepting applications for practices to participate:
- Arkansas: Statewide - Provider letter from CMS
- Colorado: Statewide - Provider letter from CMS
- New Jersey: Statewide - Provider letter from CMS
- New York: Capital District-Hudson Valley Region - Provider letter from CMS
- Ohio: Cincinnati-Dayton Region - Provider letter from CMS
- Oklahoma: Greater Tulsa Region - Provider letter from CMS
- Oregon: Statewide - Provider letter from CMS
- On May 23, ACP hosted a conference call on the Comprehensive Primary Care Initiative with Richard J. Baron, MD, MACP Group Director, Seamless Care Models, CMMI and selected geographic areas involved in the initiative.
- On Tuesday February 19 at 1:30pm ET the CMS Provider Communications Group will host a National Provider Call on PQRS and eRx Incentive Program
- On Thursday February 14th at 2pm ET CMS is hosting a ACA Implementation Update to review the Physician Sunshine Rule and provide an update on the outreach and enrollment efforts for the new Marketplaces and how health care providers fit into that work.
- On Wednesday, January 9, HHS is hosting an Affordable Care Act Implementation Update for Clinicians, Hospitals and other Healthcare Providers. Gary Cohen, Director of the Center for Consumer Information and Insurance Oversight, will provide an overview of the recent Insurance Exchange regulations and guidance and discuss how it impacts clinicians and hospitals.
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