tci Medicare Compliance & Reimbursement - 2016 Issue 9
Understand the CPC+ Model's 5 Key Components
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Article Overview
This article explains the Comprehensive Primary Care Plus (CPC+) model at a high level and outlines the main practice functions CMS expects from participating primary care organizations. It is useful for practices, administrators, and coding or compliance professionals who want to understand the general participation expectations, care-delivery focus areas, and why meeting the model’s requirements affects incentive payments and accountability.
Why This Topic Matters
Understanding CPC+ helps primary care practices evaluate whether their workflows, access, care coordination, patient engagement, and population health processes align with CMS participation expectations before joining the model.
Article Sections
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Introduction
An overview of the CPC+ model and the context for participation requirements and incentive payments.
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Key primary care functions required for participation
A summary of the major care-delivery capabilities CMS expects from participating practices, including access, care management, coordination, engagement, and planned care activities.
What You Will Learn
- What CPC+ is at a high level
- Which broad practice capabilities are emphasized in the model
- How the article frames participation expectations for primary care practices
- Why the model is relevant to practice operations and payment participation
Who Should Read This
- Primary care practices
- Practice administrators
- Compliance professionals
- Healthcare operations staff
- Medical coding and reimbursement teams
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