CMS Announces Payers in the Comprehensive Primary Care Initiative
On June 6, CMS announced 45 commercial, federal and state insurers have entered into memorandums of understanding with CMS as part of the Comprehensive Primary Care (CPC) initiative. Under this initiative, CMS will offer a management fee to primary care doctors for enhanced coordinated care services; while simultaneously, the participating insurance plans will offer an enhanced payment to practices that provide high-quality primary care.
According to the announcement, insurers in Arkansas, Colorado, Kentucky, New Jersey, New York, Ohio, Oklahoma, and Oregon signed agreements with CMS to participate in this initiative. Approximately 75 primary care practices in each designated market will be selected to participate in the CPC initiative. Primary care practices interested in participating in this initiative have until July 20, 2012 to submit their applications. Pharmacists can help these practices meet the goals of the CPC initiative and may wish to explore ways in which individual agreements can be reached with eligible practices.