decisionhealth Newsletters, Part B News - 2016 Issue 4 (April)
New CMS primary care program promotes push to pay-for-performance
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Article Overview
This article explains CMS’s Comprehensive Primary Care Plus initiative, how it differs from the earlier Comprehensive Primary Care Initiative, and why it signals continued movement toward pay-for-performance. It is aimed at primary care practices, Medicare stakeholders, and coding/reimbursement professionals who need to understand the program’s structure, participating organizations, timing, and the broader policy context affecting payment models.
Why This Topic Matters
The piece helps readers understand a major CMS primary care payment initiative and the broader reimbursement trends influencing Medicare practices. It is relevant for organizations evaluating participation in alternative payment models and for anyone tracking policy changes that affect primary care financing and care management.
What You Will Learn
- How CMS is positioning the Comprehensive Primary Care Plus model within value-based payment reform
- How the new model compares at a high level with the earlier Comprehensive Primary Care Initiative
- What broader Medicare payment policy trends are influencing primary care practices
- Which types of organizations and stakeholders are being affected by the shift in reimbursement models
- What timing and application-related information is highlighted for prospective participants
Who Should Read This
- Primary care physicians
- Medicare participating practices
- Practice administrators
- Health policy analysts
- Revenue cycle and reimbursement professionals
- Coding and compliance staff
- Accountable care organization stakeholders
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