February 14, 2017
Initiative Provides Primary Care Practices with Additional Resources to Improve Coordination of Care
Meridian Medical Group has 28 practices out of the more than 2,900 primary care practices nationwide participating in Comprehensive Primary Care Plus (CPC+), a partnership between payer partners from the Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, commercial health plans, self-insured businesses, and primary care providers. This partnership is designed to provide improved access to quality health care at lower costs.
“A robust primary care system is essential to achieve better care, smarter spending, and healthier people,” said Acting CMS Administrator Patrick Conway. “For this reason, CMS is committed to supporting primary care clinicians to deliver the best, most comprehensive primary care possible for their patients.”
“Meridian Medical Group started on the journey to transform our primary care practices to Patient Centered Medical Homes (PCMHs) more than three years ago, and we have achieved NCQA Level 3 PCMH recognition for 29 primary care practices at this time,” said Jim Clarke, M.D., Vice President of Primary Care and Care Transitions. “Our PCMH efforts prepared us for CPC+ and we are very excited about this partnership that will support our continued focus of providing quality care to our patients.”
Through CPC+, CMS will pay primary care practices a care management fee, initially set at an average of $15 per beneficiary per month in Track 1 and $28 per beneficiary per month in Track 2, to support enhanced, coordinated services on behalf of Medicare fee-for-service beneficiaries. Simultaneously participating commercial, state, and other federal insurance plans are also offering enhanced payment to primary care practices designed to support them in providing high-quality primary care on behalf of their members.
For patients, this means that physicians may offer longer and more flexible hours; use electronic health records; coordinate care with patients’ other health care providers; better engage patients and caregivers in managing their own care; and provide individualized, enhanced care for patients living with multiple chronic diseases and higher needs.
The five-year model started on January 1, 2017 with CMS soliciting a diverse pool of commercial health plans, state Medicaid agencies, and self-insured businesses to work alongside Medicare to support comprehensive primary care. Public and private health plans in 14 regions across the country signed letters of intent with CMS to participate in this model: Arkansas, Colorado, Hawaii, Kansas and Missouri’s Greater Kansas City region, Michigan, Montana, New Jersey, New York’s Capital District-Hudson Valley region, Ohio and Kentucky’s Cincinnati-Dayton region, Oklahoma, Oregon, Pennsylvania’s Greater Philadelphia Region, Rhode Island, and Tennessee. The markets were selected in August 2016 based on the percentage of the total population covered by payer partners who expressed interest in joining this partnership.
Eligible primary care practices in each market were invited to apply to participate in the winter of 2016. Through a competitive application process, CMS selected primary care practices within the selected markets to participate in CPC+. Practices were chosen based on their use of health information technology; ability to demonstrate recognition of advanced primary care delivery by leading clinical societies; service to patients covered by participating payer partners; participation in practice transformation and improvement activities; and diversity of geography, practice size, and ownership structure.
CPC+ is administered by the Center for Medicare & Medicaid Innovation (CMS Innovation Center). The CMS Innovation Center was created by the Affordable Care Act to test innovative payment and service delivery models that have the potential to reduce program expenditures while preserving or enhancing the quality of care.
For more information about CPC+, visit: https://innovation.cms.gov/initiatives/comprehensive-primary-care-plus/
About Meridian Medical Group
Meridian Medical Group is a non-for-profit organization in New Jersey which includes approximately 400 physicians and advanced providers at 120 locations caring for residents throughout Monmouth, Ocean and Middlesex counties. Our physicians and advanced providers are comprised of primary care physicians, specialists in many areas of expertise, and faculty physicians who divide their time between teaching, research and patient care. The practice and providers of Meridian Medical Group have received 98 recognitions from the National Committee for Quality Assurance for Patient-Centered Medical Home, Patient-Centered Specialty Home, and Disease Recognition.
Meridian Medical Group is part of the Hackensack Meridian Health organization which is a leading not-for-profit health care organization that is the most comprehensive and truly integrated health care network in New Jersey, offering a complete range of medical services, innovative research and life-enhancing care. Hackensack Meridian Health comprises 13 hospitals, including two academic medical centers, two children’s hospitals and nine community hospitals, physician practices, more than 120 ambulatory care centers, surgery centers, home health services, long-term care and assisted living communities, ambulance services, lifesaving air medical transportation, fitness and wellness centers, rehabilitation centers, and urgent care and after-hours centers. Hackensack Meridian Health has 28,000 team members, more than 6,000 physicians and is a distinguished leader in health care philanthropy, committed to the health and well-being of the communities it serves.
For additional information on Meridian Medical Group, please visit MeridianMedicalGroupNJ.com. To learn more about Hackensack Meridian Health, visit HackensackMeridianHealth.org.