Arkansas Comprehensive Primary Care Plus

Program Location: 
AR
Number of Practices: 
179
Payer Type: 
Multi-Payer
Payers: 
Arkansas Blue Cross Blue Shield
Arkansas Superior Select Inc.
Arkansas Health & Wellness Solutions
HealthSCOPE Benefits
Medicaid
QualChoice Health Plan Services Inc

Reported Outcomes

Description: 

In 2016, Arkansas was one of 14 regions selected through a competitive process to participate in round one of the Comprehensive Primary Care Plus (CPC+) initiative launched by CMS. CPC+ is an advanced five-year initiative designed to strengthen primary care delivery, promote better health outcomes, and control overall health care costs.  The initiative developed by CMS  and supported by Arkansas’s largest public and private payers transitions Medicare fee-for-service to value based alternative payment models in collaboration with Medicaid. In Arkansas, the original CPC program bought an estimated $50 million from 2012 to 2016 to support 69 practices. This 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.

 

Comprehensive Primary Care Plus

Last updated February 2019
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