“The Center for Medicare & Medicaid Innovation strikes again with an innovative program designed to reduce Medicare program expenditures while improving the quality of care.”
“The Centers for Medicare & Medicaid Services innovation center announced its latest initiative, called Primary Cares, that is set to begin in January 2020. The Primary Cares Initiative accommodates primary care practices to assume financial risk in exchange for performance-based payments with two main tracks: Primary Care First and Direct Contracting, via five payment model options focused on care for chronically and seriously ill patients.”
“Primary Care First
The Primary Care First tracks will test whether sharing financial risk and tying provider payments to quality performance will reduce total Medicare spending, improve care quality, and advance patient outcomes. There are two payment models: PCF and PCF-High Need Populations (which receive a higher payment rate and have additional network requirements) …”
“This model also requires providers to make significant investments in financial analytics and other traditional payer activities…” Read the full article here.
Source: Industry Voices—A look at how providers could fare in CMS’ new primary care payment models – By Kathleen Premo, Creagh Milford, July 15, 2019. FierceHealthcare.
