The Centers for Medicare and Medicaid (CMS) have announced commitment from 45 commercial, federal and state insurers in seven markets to work with CMS under the Comprehensive Primary Care initiative, which seeks to foster collaboration between public and private health care payers to improve health outcomes. Under the program, CMS will pay primary care practices a monthly care management fee to support enhanced, coordinated services. Simultaneously, participating commercial, state, and other federal insurance plans will also offer an enhanced payment for coordinated primary care ton behalf of their members.
45 insurers in Arkansas, Colorado, New Jersey, Oregon, New York’s Capital District-Hudson Valley Region, Ohio’s and Kentucky’s Cincinnati-Dayton Region, and greater Tulsa, Oklahoma signed agreements with CMS to participate in this initiative.
Approximately 75 primary care practices in each market will be selected to participate in the program. Interested primary care practices in each of the markets should complete the application pre-screen tool online, which can be found here. Applications will be accepted up until July 20th.
Attached you will find CMS’ press release and a list of participating insurers. For more information on the initiative, applicant requirements, and selected markets, please click here.