Comparison of CPC+ and Medicare ACOs

According to information from the Centers for Medicare & Medicaid Services (CMS), Comprehensive Primary Care Plus (CPC+) is a national advanced primary care medical home model that aims to strengthen primary care through a regionally-based multi-payer payment reform and care delivery transformation. The CPC+ program will offer two tracks with different payment structures and requirements.

CMS initially precluded ACO practices from participating in CPC+. In response to strong objections from NAACOS and others, the agency reversed this decision in May 2016 and updated its FAQs. Track 1, 2 and 3 MSSP ACO primary care practices will be eligible to apply and participate in CPC+, should their region be selected as one of the 20 CPC+ regions. Practices participating in the ACO Investment Model (AIM) and Next Generation model will not be eligible to participate in CPC+. Up to 1,500 practices of the 5,000 total CPC+ primary care practices may be in ACOs. If more than 1,500 eligible practices within MSSP ACOs apply to participate in CPC+, they will be subject to a lottery.