Tennessee Comprehensive Primary Care Plus
Program Location:
TN
Number of Practices:
55
Payer Type:
Multi-Payer
Parent Program:
Payers:
Amerigroup Tennessee
Medicaid
UnitedHealthcare
Volunteer State Health Plan Inc.
Reported Outcomes
Description:
Tennessee was one of the first states to introduce Comprehensive Primary Care Plus (CPC+) which is an advanced primary care medical home model. The model is a partnership among Medicare, Medicaid, four payer partners and care providers that aims to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation. 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 patients receive. The payers in Tennessee will invest in 55 primary care practices by paying monthly care management fees over a five year period. The practices will use this investment to promote high quality, patient centered, and cost effective care.
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.
