CPC+ Payment Methodologies

Beneficiary Attribution, Care Management Fee, Performance-Based Incentive Payment, and Payment Under the Medicare Physician Fee Schedule

This Executive Summary provides an overview of the methodologies that the Centers for Medicare & Medicaid Services (CMS) will use for the Comprehensive Primary Care Plus (CPC+) payment model being tested in Medicare fee-for-service (FFS). The Executive Summary and the detailed technical specifications for each of the methodologies are organized as follows:

  • Chapter 1 introduces the CPC+ attribution and payment elements
  • Chapter 2 describes the Beneficiary Attribution
  • Chapter 3 describes the Care Management Fee
  • Chapter 4 describes the Performance-Based Incentive Payment
  • Chapter 5 describes the Payment under the Medicare Physician Fee Schedule
  • Chapter 6 provides conclusions
PDF icon cpcplus-methodology.pdf2.32 MB
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