decisionhealth Newsletters, Part B News - 2016 Issue 8 (August)
Consider care management, EHR readiness before jumping into CPC+
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Article Overview
This article explains how CMS’s CPC+ model is structured and what primary care practices should consider before applying. It discusses the program’s two tracks, the emphasis on care management and electronic health record capability, and the broader shift toward value-based care. The piece is intended for primary care practices, practice managers, clinicians, and health IT stakeholders evaluating whether they are prepared for the model’s operational and reporting demands.
Why This Topic Matters
CPC+ represents a significant primary care payment and delivery model, so practices need to assess staffing, workflow, EHR readiness, and reporting capacity before participating.
Article Sections
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Value-based care
Introduces the CPC+ model and places it in the context of CMS’s broader shift toward value-based primary care. Summarizes the program’s scope, timing, and application framework.
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A transition to value-based care
Discusses the model as part of the wider move to alternative payment structures and care transformation. Includes perspectives on readiness and the challenges of adapting to the new approach.
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CPC+ offers a heavy focus on care management
Describes the program’s care-management emphasis, track-based structure, and associated payment framework. Also outlines the general operational expectations tied to participation.
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Ensure your EHR vendor is ready to go
Covers the health IT and reporting environment tied to participation, including certified EHR technology and vendor coordination. Notes the importance of readiness for electronic quality reporting.
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Discern whether you’re prepared to go plus
Offers guidance on assessing organizational readiness for the model, including leadership, workflow maturity, and prior care-management experience. Places CPC+ in the context of other primary care transformation efforts.
What You Will Learn
- How CMS’s CPC+ model is structured for primary care practices
- What general types of operational readiness practices should assess before applying
- How care management and health IT capability factor into participation
- How CPC+ fits into the broader move toward value-based care
- Which stakeholders may need to review practice readiness before enrollment
Who Should Read This
- Primary care practices
- Physicians
- Practice managers
- Health care administrators
- Health IT vendors
- Value-based care stakeholders
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