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Comprehensive Primary Care Plus Program for Providers

Comprehensive Primary Care Plus (CPC+) is a five year nationwide initiative administered by the Center for Medicare & Health First Colorado Innovation (CMS Innovation Center). CPC+ is a partnership between payer partners from the Center for Medicare & Health First Colorado Services (CMS), state Health First Colorado agencies, commercial health plans, self-insured businesses and primary care providers. 


About the Program

The goal of CPC+ is to strengthen primary care by focusing on high quality & high value care with an advanced care delivery and payment structure to achieve better care, smarter spending and healthier people. This program will allow for practices to be innovative in care delivery and payment redesign. Practices will receive financial support that will change the way they deliver care via care management fees (CMF) & performance-based incentives.

Practices will participate in two different tracks based on their readiness for transformation. Each track will have different payment methodologies and care delivery requirements. Practices in Track 1 will build capabilities to deliver comprehensive care and better meet the needs of their patients. Practices in Track 2 will have additional requirements and will enhance their comprehensive care delivery. Each track will focus on the five Comprehensive Primary Care Functions:

  • Function 1: Access & Continuity
  • Function 2: Care Management
  • Function 3: Comprehensiveness & Coordination
  • Function 4: Patient & Caregiver Engagement
  • Function 5: Planned Care & Population Health

Practices in all tracks will have access to national and regional learning communities, individual and small group coaching and actionable data. CPC+ qualifies as an advanced alternative payment model (APM) through the Medicare Access and CHIP Reauthorization Act (MACRA).

Primary Care Functions and Measures

 
 

Learn More About RMHP Practice Transformation Programs