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+) Round 1, 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. Out of the 14 Round 1 regions, Ohio was 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 gives 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+ provides practices with a robust learning system, as well as actionable patient-level cost and utilization data feedback, to guide their decision making.
- Access and continuity
- Care management
- Comprehensiveness and coordination
- Patient and caregiver engagement
- Planned care and population health.
In May 2017, CMS announced an additional 4 regions for CPC+ Round 2 that will begin participating in January 2018.
- Care Management Calculator
- High Impact Changes for Practice Transformation
- 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)
Additional Resources & Information
- CPC+ Update: Whoever Measures Value Controls Payment (Weekly Family Medicine Update, May 29, 2018)
- CPC+ Practices Converge on Ohio State to Advance Primary Care (Weekly Family Medicine Update, July 25, 2017)
- From HB 198 to CPC Classic to CPC+ (The Ohio Family Physician, Spring 2017)
- 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)
- 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)