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CMS Identifies 14 CPC+ Regions, Starts Enlisting Primary Care Practices

By HealthLeaders Media News  
   August 03, 2016

Several large commercial payers, including Aetna, Anthem, and UnitedHealthcare will participate in Medicare's two-track successor to the Comprehensive Primary Care initiative.

Comprehensive Primary Care Plus, Medicare's far-reaching program promoting the use of patient-centered medical homes at primary care practices, passed its first milestone this week.

The Centers for Medicare & Medicaid Services Monday identified 14 payer regions and the agency's payer partners in each region. Primary care practices have until Sept. 15 to submit applications to participate in the program, which is slated to launch in January 2017.

The 14 CPC+ payer regions feature 10 statewide regions: Arkansas, Colorado, Hawaii, Michigan, Montana, New Jersey, Oklahoma, Oregon, Rhode Island and Tennessee. Ohio is a statewide payer region for CPC+ but shares its region with Northern Kentucky.

Related: CMS Escalates Primary Care Reform

The three other CPC+ payer regions are the Greater Kansas City Region in Kansas and Missouri, the North Hudson-Capital Region of New York, and the Greater Philadelphia Region of Pennsylvania.

CMS has enlisted 57 payer partners to help launch CPC+ in January, according to a CPC+ fact sheet.

In addition to Medicare and Medicaid, several large commercial payers are participating in CPC+, including Aetna, Anthem, Arkansas Blue Cross Blue Shield, Blue Cross Blue Shield of Michigan, Horizon Blue Cross Blue Shield of New Jersey, Tufts Health Plan, and UnitedHealthcare.

The regions were selected by CMS based on payer interest and coverage. "By aligning Medicare, Medicaid, and private insurance, CPC+ moves the healthcare system away from one-size-fits-all, fee-for-service to a model that supports clinicians delivering the care that best meets the needs of their patients and improves health outcomes," CMS said in a media release.

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