The Centers for Medicare and Medicaid Services (CMS) announced Wednesday the launch of a new initiative to support comprehensive primary care and improve the coordination of primary and specialty care. The four-year demonstration project will test payment and delivery system reforms that promote teamwork across the “medical neighborhood,” with a particular focus on preventive care and management of chronic disease.
Five to seven healthcare markets will be selected for the demonstration, which requires cooperation and participation from both public and private payers in each market. Participating provider organizations will receive an extra $20 per Medicare beneficiary per month to support the cost of providing care management, improved access to care, coordination and continuity of services, and patient/caregiver engagement. Eligible entities are limited to payers (who may be commercial insurers, state Medicaid programs, managed care plans, or others). In turn, payers must agree to establish special contracts with primary care practices for the purposes of the project. Payer participants will be selected for their participation in community-based systems of multiple stakeholders.
Initial letters of intent are due by November 15, with a final application deadline of January 17. For more information, visit the Comprehensive Primary Care Initiative website.