For Providers

Payment Transformation

CPC+

The Centers for Medicare & Medicaid Services' Comprehensive Primary Care Plus (CPC+) program brings additional funding to primary care clinics to invest in services that extend the reach and depth of care. This is a great step in the direction we are already headed in, as we work to improve the quality of patient care, improve patients’ health and spend health care dollars more wisely.

We look forward to working alongside our PCP members to provide the support they need to be successful under the new program. This support will include:

  •          Complex care coordination
  •          Quality measures workflow and support
  •          Epic optimization
  •          Practice redesign support
  •          HCC assistance and education
  •          Call center support

This is an exciting time. We’ve laid the groundwork with 24/7 access, risk stratification and complex care, and we’re actively building collaborative care agreements, behavioral health integration, patient self-management tools and much more. These efforts should contribute greatly to the work we do in the coming year and beyond – not just for CPC+, but also related to HMSA’s Payment Transformation and CMS’s Merit-based Incentive Payment System (MIPS). 

They may be different programs, but they are all focused on quality improvement, efficient use of resources and innovation to support patients where and when needed. We have been preparing for these changes since 2014 and will be there to support you.

Congratulations again to those practices participating in the CPC+ program! We look forward to working with you to make this program a success and transform primary care in Hawai‘i.

Resources:

Phase 1 CPC+ Implementation Guide: Getting Started With CPC+

CPC+ Payment Methodologies

HHP PMSO Services

CPC+ Baseline Learning Assessment (due Jan. 18)

CPC+ Baseline Learning Assessment (reference copy only)

CPC+ Beneficiary Notice Instructions

CPC+ Waiting Room Notice

CPC+ Press Release Template