Multi-Payer ACO Launches in Seven Regions
The Centers for Medicare and Medicaid Services has selected 500 primary care practices in seven regions to participate in the new Comprehensive Primary Care Initiative, a multi-payer and provider accountable care organization program with a heavy reliance on health information technology.
The Centers for Medicare and Medicaid Services has selected 500 primary care practices in seven regions to participate in the new Comprehensive Primary Care Initiative, a multi-payer and provider accountable care organization program with a heavy reliance on health information technology.
CMS first announced the initiative in late 2011, and in April 2012 selected markets and began soliciting physician and payer participants. Now, the program is rolling out in Arkansas, Colorado, New Jersey, Oregon, New York’s Capital District-Hudson Valley region, Ohio and Kentucky’s Cincinnati-Dayton region, and the greater Tulsa region in Oklahoma, with Medicaid and private health plan participation.
Under the four-year program, CMS will pay an average care management fee of $20 per Medicare beneficiary per month in years 1 and 2, and about $15 in years 3 and 4. Other payers also will pay an unspecified enhanced payment for comprehensive services being offered to their members. Participating practices were selected based on their use of health information technology, ability to demonstrate advanced primary care delivery, participation in practice transformation initiatives, and diversity of practice size, geography and ownership, among other factors.
CMS estimates about 2,100 providers will serve 313,000 Medicare beneficiaries under the 4-year initiative, authorized under the Affordable Care Act. More information is available here.
CMS first announced the initiative in late 2011, and in April 2012 selected markets and began soliciting physician and payer participants. Now, the program is rolling out in Arkansas, Colorado, New Jersey, Oregon, New York’s Capital District-Hudson Valley region, Ohio and Kentucky’s Cincinnati-Dayton region, and the greater Tulsa region in Oklahoma, with Medicaid and private health plan participation.
Under the four-year program, CMS will pay an average care management fee of $20 per Medicare beneficiary per month in years 1 and 2, and about $15 in years 3 and 4. Other payers also will pay an unspecified enhanced payment for comprehensive services being offered to their members. Participating practices were selected based on their use of health information technology, ability to demonstrate advanced primary care delivery, participation in practice transformation initiatives, and diversity of practice size, geography and ownership, among other factors.
CMS estimates about 2,100 providers will serve 313,000 Medicare beneficiaries under the 4-year initiative, authorized under the Affordable Care Act. More information is available here.
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