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

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

Published: Jan 19, 2021
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Associated Project

Evaluation of the Comprehensive Primary Care Initiative

Time frame: 2012-2023

Prepared for:

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services

U.S. Department of Health and Human Services, Center for Medicare & Medicaid Innovation

Authors

Ann O’Malley

Katie Morrison Lee

Min-Young Kim

Ning Fu

Eunhae Shin

Nikkilyn Hensleigh

Asta Sorensen

Melanie Au

Janice Genevro

Sara Pittman

Shannon Heitkamp

Randall Brown

Key Findings
  • CPC+ continued to provide practices with substantial supports including enhanced and alternative payments, data feedback, learning activities, and health information technology vendor supports.
  • CPC+ practices built on their progress from the first two years to make important changes in care, including providing care management to high-risk patients and integrating behavioral health care into their practices.
  • There were a few small favorable effects on some measures of service use, quality of care, and patient experience for Medicare fee-for-service (FFS) beneficiaries.
  • When including CMS’s enhanced payments to CPC+ practices, CPC+ increased CMS’s expenditures for Medicare beneficiaries.

The Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Third Annual Report to CMS covers the first three years of CPC+ for the 2,905 practices in regions that began CPC+ in 2017. The report examines (1) engagement in CPC+ by payer partners and health IT vendors and participation by practices; (2) the supports practices received; (3) how practices implemented CPC+ and changed the way they delivered health care; and (4) the impacts of CPC+ on cost, service use, limited claims-based quality-of-care outcomes, and patient experience for attributed Medicare fee-for-service beneficiaries three years into the five year model. An overview of findings from the Third Annual report is available in the two page Findings At a Glance.

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