Webinar Replay: CMS Primary Care Initiative: Key Considerations Concerning New Value-Based Payment Options
This webinar was held on July 11, 2019.
The Centers for Medicare & Medicaid Services (CMS) has announced a new Primary Care Initiative, offering primary care providers (PCPs) in 26 regions nationally the opportunity to participate in new Medicare payment models beginning January 2020: Primary Care First (PCF).
During this webinar, experts from HMA described how this initiative builds on prior CMS innovation models in advancing primary care and outlined eligibility, payment models, and key considerations of the program. The PCF program includes an option to care for seriously ill patients who lack a primary care practitioner and opt to participate in this payment model option. It prioritizes the physician-patient relationship, reduces administrative burden, and financially incents improved health outcomes.
- Understand the eligibility requirements for the PCF programs.
- Describe program models including attribution and payment models.
- Understand the goals and quality metrics associated with PCF, including incentives aimed at reductions in hospital utilization and total cost of care.
- Lean how participation in this primary care initiative can help primary care practices expand their patient base, especially among high needs populations.
- Art Jones, MD, Principal, Chicago
- Elizabeth Wolff, MD, MPA, Principal, New York
Who Should Listen
Physicians and executives from primacy care practices, IPAs, ACOs, hospitals, health systems, and other provider entities; health plans and other payers. Although eligibility for program participation is limited to the 26 targeted geographic areas, others may be interested in learning how CMS is progressing toward increasing primary care payment through capitation.