CMS announces CPC+ primary care model

On April 11, 2016, the Centers for Medicare and Medicaid Services (CMS) announced the Comprehensive Primary Care Plus (CPC+) model. The CPC+ model, which builds on the CPC model launched in October 2012, is designed to align Medicare, state Medicaid agencies, and commercial insurance payers to achieve comprehensive, coordinated primary care, especially for patients with complex medical and behavioral health needs. [More]

CMS Publishes Final Rule on Medicaid Payments for Primary Care

The Centers for Medicare and Medicaid Services (CMS) published a final rule in the Federal Register on November 6, 2012 on increases in Medicaid payment rates for primary care in calendar years 2013 and 2014 mandated under section 1202 of the Affordable Care Act (ACA). The final rule will be effective January 1, 2013. Section 1202 seeks to improve Medicaid recipients’ access to primary care practitioners before and during state Medicaid eligibility expansions in 2014. One hundred percent Medicaid federal financial participation (FFP) will be available in 2013 and 2014 on increases in Medicaid primary care payment rates up to Medicare Part B rates. [More]

CMS Issues Final Rule Increasing Medicare Payments for Primary Care Physicians in 2013

On November 1, CMS issued a comprehensive final rule with comment period for Medicare’s payments for physician fees for 2013. Included in the rule is a new policy to pay a patient’s physician or practitioner to coordinate the patient’s care in the 30 days following a hospital or skilled nursing home stay. The Fact Sheet accompanying the rule, issued by CMS, indicates that the new policy is expected to ensure better continuity of care for the discharged patients and help reduce patient readmissions. [More]