Greater Kansas City-Missouri Comprehensive Primary Care Plus
Program Location:
MO
Number of Practices:
105
Payer Type:
Multi-Payer
Parent Program:
Payers:
Blue Cross Blue Shield of Kansas City
UnitedHealthcare
Reported Outcomes
Description:
In 2016, CMS selected the Greater Kansas City region as one of the 14 markets that piloted their recent innovative efforts, Comprehensive Primary Care Plus (CPC+). CPC+ is an advanced primary care medical home model that rewards value and quality through innovative payments that support comprehensive care. CPC+ is an initiative developed by CMS that transitions Medicare fee-for-service to value based payments in collaboration with Medicaid and commercial payers. Payer partners, and care providers in the Kansas City region have partnered with Medicaid in a project that aims to strengthen primary care through regionally-based multi payer payment reform and care delivery transformation. This unique public-private partnership 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.
