The first cohort of practices participating in CMS’ Primary Care First (PCF) Model begins January 2021. Beyond Comprehensive Primary Care Plus (CPC+) and its predecessor CPC ‘classic’, this represents a next step in value-based care and alternative payment models (APMs) for primary care. At the practice level PCF is an opportunity to exercise flexibility in how care is delivered, with an increasing focus on outcomes, aligning value-based delivery with value-based payment.
Across 26 regions, PCF will include this initial cohort as well as a second cohort opening the opportunity for CPC+ practices to apply. While this is an expanded opportunity for primary care along the value continuum, it’s not without risk.
So what should practices be thinking about now?
As a Cohort 1 practice or group of practices, eager to launch into the model, you are no doubt considering the following:
Knowing direct practice support will not be provided as part of participation in the model, practices may decide to seek coaching and facilitation or advice and guidance. HealthTeamWorks is well-positioned to provide this support with flexible design options. See an overview of support options here, or contact us at firstname.lastname@example.org for more information.
As a practice or system contemplating application to Cohort 2, the following is likely top of mind:
HealthTeamWorks offers a free PCF calculator comparing Medicare payment options FFS, CPC+, and PCF (also includes SIP). Contact us to schedule a brief walk-through and discussion about using your data to explore if application to the PCF Model is right for your practice.
For additional PCF Model information, payment components are described in CMS’ Model Briefing webinar and slides and more comprehensively in the August 2020 PCF Payment and Attribution Methodologies document. Also, see CMS’ Innovation Center PCF Model Options page for more information and materials.
We look forward to connecting with you as you contemplate these important decisions!