decisionhealth Newsletters, Part B News - 2019 Issue 12 (December)
With Primary Care First ready to lift, check readiness, risk tolerance to see if it fits
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Article Overview
This article explains the Primary Care First portion of CMS’s Primary Cares Initiative and discusses what practices should evaluate before applying. It is aimed at primary care leaders, practice managers, and advisors comparing value-based care options, with emphasis on program structure, participation considerations, risk tolerance, and planning tools referenced by the source.
Why This Topic Matters
Primary Care First is presented as a significant value-based payment opportunity for primary care organizations, and the article helps readers understand whether their practice profile, patient mix, and operational readiness align with the model. It matters to practices weighing prospective payment arrangements against existing fee-for-service workflows and to organizations assessing how much financial and performance risk they are prepared to assume.
Article Sections
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Primary Care First and the broader Primary Cares Initiative
Introduces the CMS initiative and places Primary Care First within the larger demonstration framework. It also outlines the general purpose of the program and its relationship to other payment models.
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Dig into the details to assess fit
Summarizes participation considerations, practice eligibility themes, program duration, and the general payment structure. It also discusses performance-based adjustments and categories of practices that may align with the model.
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Who’s a good candidate?
Compares Primary Care First with other primary care payment initiatives and discusses practice characteristics that may influence suitability. It focuses on readiness for prospective payment and operational differences across practice types.
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Not just for primary care
Addresses whether multispecialty organizations may still find the program relevant. It discusses organizational structure, administrative capacity, and how some groups may separate primary care participation from other services.
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See if it adds up
Describes tools and resources mentioned for evaluating the financial implications of participation. It emphasizes planning support and timing considerations for practices deciding whether to apply.
What You Will Learn
- How Primary Care First fits within CMS’s broader primary care payment strategy
- What types of practices the article says should evaluate the model
- Which operational and organizational factors affect readiness for participation
- How the article frames risk tolerance and prospective payment considerations
- What planning tools and resources are mentioned for assessing participation
Who Should Read This
- Primary care physicians
- Practice administrators
- Medical group managers
- Value-based care advisors
- Health system leaders
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