Rhode Island Comprehensive Primary Care Plus
Program Location:
RI
Number of Practices:
31
Payer Type:
Multi-Payer
Parent Program:
Payers:
Blue Cross Blue Shield of Rhode Island
Medicaid
UnitedHealthcare
Reported Outcomes
Description:
The state of Rhode Island agreed to implement the Comprehensive Primary Care Plus (CPC+) model in 31 practices statewide. Rhode Island were selected as one of 18 regions nationwide to participate in Comprehensive Primary Care Plus (CPC+). The partnership among Medicare, Medicaid, commercial insurers and care providers aims to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation over a five year period. CPC+ is a 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.
