The CMS Center for Medicare & Medicaid Innovation will start the reform law-authorized Comprehensive Primary Care Initiative in seven states. The initiative is a multi-payer and provider accountable care organization program that will include reliance on health information technology.
Under the program, CMS will pay a per-beneficiary, per-month care management payment for comprehensive primary care services provided to Medicare fee-for-services beneficiaries, as well as beneficiaries of participating Medicaid plans. Medicare also will enable participating practices to share in savings in years two through four of the four-year pilot program. Medicaid payer participants will not offer a shared savings component.
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