Independent Evaluation of the Comprehensive Primary Care Plus (CPC+): Fourth Annual Report

Key Findings

• Practices’ ability to work on CPC+ care delivery requirements was hindered by the COVID-19 pandemic, but a range of supports (such as care managers) and temporary changes in payment policies (such as Medicare fee-for-service payment for telehealth) helped practices continue to fund their COVID-19 work.
• CPC+ practices cited care management fees as the most useful type of CPC+ payment support they received, used primarily to fund the salaries of care managers, behavioral health care providers, and other staff to improve care delivery.
• The annual increase in the number of practice sites with on-site behavioral health specialists was valuable, particularly during the fourth year as the COVID-19 pandemic increased mental health care demand during a very challenging time to secure services.
• CPC+ practices saw reductions in emergency department (ED) visits, acute hospitalizations, and acute hospitalization expenditures and improvement in some quality-of-care measures, though overall savings to Medicare were offset by increases in expenditures on other services.

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