On August 1, 2016, the Centers for Medicare & Medicaid Services (CMS) announced that the entire state of Ohio and several northern Kentucky counties had been selected as a region to participate in Comprehensive Primary Care Plus (CPC+), a national advanced primary care medical home model that aims to strengthen primary care through a regionally-based multi-payer payment reform and care delivery transformation. Ohio is the largest region chosen to participate with 562 practice sites along with the largest number of providers, 2,566, participating in the program.
CPC+, a five-year model that began in January 2017, includes two primary care practice tracks with incrementally advanced care delivery requirements and payment options to meet the diverse needs of primary care practices in the United States. The care delivery redesign ensures practices in each track have the infrastructure to deliver better care to result in a healthier patient population. The multi-payer payment redesign will give practices greater financial resources and flexibility to make appropriate investments to improve the quality and efficiency of care, and reduce unnecessary health care utilization. CPC+ will provide practices with a robust learning system, as well as actionable patient-level cost and utilization data feedback, to guide their decision making.
The following video presentation was recorded on August 13, 2016, at the Ohio Academy of Family Physicians Members Assembly. American Academy of Family Physicians Senior Vice President for Advocacy, Practice Advancement, and Policy Shawn Martin provided an overview of MACRA and CPC+. To view the CPC+ portion of the presentation, please advance to minute 41.42.
The goal of CPC+ is to improve the quality of care patients receive, improve patients’ health, and spend health care dollars more wisely. Practices in both tracks will make changes in the way they deliver care, centered on key Comprehensive Primary Care functions: (1) access and continuity; (2) care management; (3) comprehensiveness and coordination; (4) patient and caregiver engagement; and (5) planned care and population health. In addition to Ohio and northern Kentucky, 13 other CPC+ regions were selected. View additional information about each CPC+ region and the payers.
Ohio’s Medicaid CPC Program
On August 2, 2016, the Governor’s Office of Health Transformation announced details of its CPC program. In December 2016, 91 practices had been accepted for the 2017 Ohio CPC program out of 150 applicants.
- Care Management Calculator
- High Impact Changes for Practice Transformation
- Step by Step Document
- CPC+ Laying Groundwork for Value-Based Payment (Leader Voices Blog, February 10, 2017)
- FP Credits CPC Initiative with Practice Turnaround (AAFP News, November 16, 2016)
- CPC+ Holds Plenty of Potential for FPs (In the Trenches, August 16, 2016)
- Heads Up: Time to Apply for CPC+ Initiative (AAFP News, August 3, 2016)
- Ohio Has Largest Number of Practices and Providers in CPC+ (Weekly Family Medicine Update, February 21, 2017)
- CMS Announces New CPC+ Application Window for 2018 (Weekly Family Medicine Update, November 8, 2016)
- Ohio’s CPC Program Early Entry Enrollment Process Explained (Weekly Family Medicine Update, October 4, 2016)
- Medicaid Rolls Out Its Ohio CPC Project; 2017 Participants Are By Invitation Only (Weekly Family Medicine Update, September 27, 2016)
- CMS Selects Ohio for CPC+; OHT Announces Details of Similar CPC Program (Weekly Family Medicine Update, August 2, 2016)
- AAFP Collaborates With Caravan Health on CPC+ Readiness (Weekly Family Medicine Update, July 12, 2016)
- Ohio Advances Value-Based Payment Models (Weekly Family Medicine Update, June 14, 2016)
- Comprehensive Primary Care+ Webinar Scheduled for June 10 (Weekly Family Medicine Update June 7, 2016)
- CMS Announces Comprehensive Primary Care Plus (Weekly Family Medicine Update, April 12, 2016)
- Ohio Comprehensive Primary Care Initiative