The Cincinnati-Dayton region of Ohio has been selected by the Centers for Medicare and Medicaid Services (CMS) Innovation Center as one of seven geographic markets to carry out the Comprehensive Primary Care (CPC) initiative.
Seventy-five practices in the Cincinnati-Dayton market have been selected to participate in the CPC initiative. These Ohio and Kentucky practices represent 261 physicians.
- Aetna
- Amerigroup (Ohio only)
- Anthem Blue Cross Blue Shield of Ohio
- Humana
- UnitedHealthcare
- CareSource (Ohio only)
- HealthSpan
- Medical Mutual
- Centene Corporation (Ohio only)
- Ohio Medicaid (Aged, Blind, and Disabled)
Practices were selected from the following counties: Adams, Brown, Butler, Champaign, Clark, Clermont, Clinton, Greene, Hamilton, Highland, Miami, Montgomery, Preble, and Warren in Ohio and Boone, Campbell, Grant, and Kenton in Kentucky.
- Improved care coordination
- Increased access to care for patients
- Preventive care delivered
- Patient and caregiver engagement in managing care
- Individualized, enhanced care for patients living with multiple chronic diseases and higher needs.
According to Bruce Bagley, MD, medical director for quality improvement at the American Academy of Family Physicians, “This initiative has an aggressive timeline. CMS and the rest of us have no interest in having this fail. This must go forward, go well, and must be successful. It is designed to succeed.”
CPC Initiative Timeline*
- August 22: Practice selection completed
- August-September: Selected practices will sign contract addendums with individual payers to allow for additional payment methods and spell out parameters
- Thursday, November 1: Effective start date
*This aggressive timeline is subject to change.
AAFP Resources
Additional Resources
- A presentation by CMS’ Dr. Barron to the New Jersey Academy of Family Physicians
- “Comprehensive Primary Care Initiative…The Future is Now” written by TransforMED CEO Terry McGeeney, MD, after the CPC initiative was announced
- The Health Collaborative website
