CMS Announces ​Regions to Participate in Round 2 of CPC+ Model

Added on Jun 22, 2017

CMS Announces ​Regions to Participate in Round 2 of CPC+ Model
Industry Edge June 2017

The Centers for Medicare & Medicaid Services (CMS) has announced the regions it has selected to participate in Round 2 of the Comprehensive Primary Care Plus (CPC+) model, a national advanced primary care medical home model that rewards value and quality by providing practices with up-front incentive payments to help doctors offer services for which they traditionally have not been compensated.

CPC+ Round 1 began earlier this year in 14 regions, with 53 payers and 2,891 practices. For CPC+ Round 2, CMS selected four regions: Louisiana (statewide), Nebraska (statewide), North Dakota (statewide) and New York’s Greater Buffalo area (Erie and Niagara counties). Eligible practices located in these regions can apply to participate in CPC+ Round 2 until July 13, 2017.

According to CMS, the CPC+ Round 2 regions were selected based on payer alignment and market density to ensure that CPC+ practices have sufficient payer supports to make fundamental changes in their primary care delivery. CMS has provisionally chosen to partner with seven payers in these regions throughout Round 2, and has provisionally selected five payer partners to provide additional support in certain existing Round 1 regions.

CPC+ includes two separate tracks: Track 1 is intended for practices that have the health IT and other basic infrastructure necessary to deliver comprehensive primary care, and Track 2 is intended for practices that are proficient in comprehensive primary care and are prepared to increase the depth, breadth and scope of medical care delivered to their patients, particularly those with complex needs. CMS expects to select up to 1,000 practices across the new Round 2 regions.

More information on the CPC+ model is available here.