decisionhealth Newsletters, Part B News - 2011 Issue 10 (October)
New primary care program pays extra monthly fee per patient
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Article Overview
This article explains a CMS primary care demonstration from the Innovation Center and summarizes how the initiative is structured, who may participate, and the broad care-delivery expectations attached to it. It is relevant to primary care practices, physician groups, and payers interested in Medicare payment reform, quality improvement, and coordinated care models.
Why This Topic Matters
The piece helps readers understand an early CMS payment model that blends fee-for-service with care management support and links payment to performance and practice transformation. It matters for organizations tracking Medicare innovation, primary care reimbursement changes, and opportunities for multi-payer participation.
What You Will Learn
- How the CMS primary care initiative is structured at a high level
- What kinds of practices and markets were expected to participate
- Which broad care-management and coordination expectations were described
- How the program fits within CMS Innovation Center efforts
- Why physician groups and other payers viewed the initiative as important
Who Should Read This
- Primary care physicians
- Physician group leaders
- Practice administrators
- Medical coders and revenue cycle staff
- Health plan representatives
- Healthcare policy analysts
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