CMS’ Comprehensive Primary Care Plus (CPC+) initiative is a voluntary, five-year incentive program built on care management and population health and offered in separate (Track 1/Track 2) levels of reimbursement matched with delivery and health IT functionality requirements.
Both tracks offer PBPM care management and incentive fees. Track 1 follows FFS structures, while Track 2 builds upon Track 1 functionality and doubles the reimbursements and adds bonus funding. (See accompanying resources for CPC+ payment charts.) Delivery is built around five domain categories.
CPC+ is included within MACRA as an Advanced Alternative Payment Model. This means qualifying practices can achieve MACRA bonus payments and be exempt from the MIPS performance track. Also, practices participating in CMS MSSP ACOs (Tracks 1-3) are dual eligible to participate in CPC+ and receive selected reimbursements from both.
CMS recently announced the payer regions for CPC+ and practices have until September 15 to apply. Keep in mind; individual practices must have at least 150 Medicare patients. The following regions have been selected, beginning in 2017.
- Arkansas: Statewide
- Colorado: Statewide
- Hawaii: Statewide
- Kansas and Missouri: Greater KC Area
- Michigan: Statewide
- Montana: Statewide
- New Jersey: Statewide
- New York: North Hudson-Capital
- Ohio: Statewide
- Northern Kentucky
- Oklahoma: Statewide
- Oregon: Statewide
- Pennsylvania: Greater Philadelphia Region
- Rhode Island: Statewide
- Tennessee: Statewide
Wellcentive has assessed the functionality needed for CPC+ and will support the IT-based workflow requirements. As required for practices pursuing Track 2, Wellcentive has submitted a global letter of support to CMS to cut down on practice paperwork. (Track 2 requires express vendor support, while CPC+ Track 1 does not.) Practices can select either track, but must remain in it during the length of participation.
In order to help our customers achieve success in the CPC+ program, we will be providing a specific packaged offering, which includes consulting and new content.
- Initial assessment and consulting: help determine which track best aligns with current goals and identify any additional data and/or content needs.
- CPC+ measures: access to measures and descriptions for the program, as will be specific in the release of MACRA’s final rule.
- Standard content: access to additional content to track progress within program requirements, which will include relevant alerts, reports, care plan templates and assessments.