Michigan Comprehensive Primary Care Plus
Program Location:
MI
Number of Practices:
425
Payer Type:
Multi-Payer
Parent Program:
Payers:
Blue Cross Blue Shield of Michigan
HealthSCOPE Benefits
Priority Health
Reported Outcomes
Description:
Michigan has adopted the statewide Comprehensive Primary Care model (CPC+) in 425 primary care practices. Comprehensive Primary Care Plus (CPC+) is a national advanced primary care medical home model that aims to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation over a five year period. CPC+ is a 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 their patients receive. Centers for Medicare & Medicaid Services (CMS) is partnering with 61 aligned payers in 18 regions.
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.
