CMS' Primary Care First (PCF) payment model is a five-year alternative payment model addressing the need to preserve and strengthen primary care for Medicare beneficiaries. The goal of this payment model option is to reduce spending on acute hospital utilization (AHU) and improve access to high-quality care in advanced primary care practices.
CMS' Primary Care First (PCF) payment model options represent a significant step in Medicare payment for primary care and alternative payment models (APM).
PCF Cohort 1 began in January 2021. The Cohort 2 Request for Applications (RFA) is available and the application period is open for CPC+ and non-CPC+ practices in 26 regions through May 21, 2021. If you are contemplating what future participation may mean for your practice(s), HealthTeamWorks can help. Through our unparalleled experience over more than 20 years, including CPC+ National Learning Network Faculty and Regional Practice Facilitators in two CPC+ states, we understand the challenges advanced primary care practices face in responding to alternative payment model requirements.
PCF Revenue Calculator
PCF Revenue Calculator Disclaimer:
There are many considerations to weigh in deciding to participate in a new payment model. We welcome your use of the revenue comparison calculator linked below as one tool to assist in exploring the right path for your practice(s). The ultimate decision to participate in PCF should be made by your practice based on multiple variables.
While we believe value-based payment better aligns with the delivery of high-quality care, we encourage practices to establish an overarching strategy for transitioning to value-based care and payment unique to your circumstances… including your timeline, goals, return and value on investment, culture of learning and continuous improvement, population health infrastructure, workforce development plan, and risk readiness.
HealthTeamWorks is here to support you.
Email us at email@example.com if you would like to schedule a complementary walk through of the revenue comparison calculator, or if you would like to discuss contracting options for direct support in this and other alternative payment models.