Louisiana Comprehensive Primary Care Plus

Program Location: 
LA
Number of Practices: 
32
Payers: 
Aetna
Blue Cross Blue Shield of Louisiana
Amerigroup Louisiana Inc.
AmeriHealth Caritas Louisiana Inc.

Reported Outcomes

Description: 

Starting in 2018, CMS has expanded Comprehensive Primary Care Plus (CPC+) into 4 new regions including the state of Louisiana. This allows payers to partner with CMS and practices to participate in CPC+ until 2022. CPC+ is an advanced primary care medical home model that rewards value and quality through innovative payments that support comprehensive care. The CPC+ initiative developed by CMS, transitions Medicare fee-for service to value-based payments in collaboration with Medicaid and commercial payers in selected regions. Payer partners, and care providers have collaborated with Medicaid in a project that aims to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation. The initiative is unique public-private partnership that gives practices additional financial resources and flexibility to make investments, improve quality of life, and reduce the number of unnecessary services patients receive. 

Payment Model: 

Practices will enter one of two program tracks. The track dictates the care delivery capabilities practices will develop and the payment structure they will receive. 

 

CPC+ includes two primary care practice tracks with incrementally advanced care delivery requirements and payment options to meet the diverse needs of primary care practices in the United States. The two tracks, which are comprehensive care and financial support will dictate the care delivery capabilities practices will develop and the payment structures that they receive. Practices in both tracks will make changes in the way they deliver care, centered on key Comprehensive Primary Care Functions: (1) Access and Continuity; (2) Care Management; (3) Comprehensiveness and Coordination; (4) Patient and Caregiver Engagement; and (5) Planned Care and Population Health.

 

CMS Comprehensive Primary Care Plus 

Improved Access: 

Now available in 18 regions

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