New CMS primary-care payment model would affect 20K doctors

 In News

The CMS wants to pay practices a monthly fee to manage care for as many as 25 million patients in the agency’s largest-ever plan to transform and improve how primary care is delivered and reimbursed.

The Comprehensive Primary Care Plus initiative will be implemented in up to 20 regions and include up to 5,000 practices, which would encompass more than 20,000 doctors and clinicians. The program would collaborate with commercial, state, and other federal insurance plans. Therefore, the CMS has yet to identify regions since it must first assess interest by payers and providers.

Provider practices will be able to participate in two ways. In Track 1, the agency will pay a monthly fee to practices that provide specific services. That fee is in addition to the fee-for-service payments under the Medicare Physician Fee Schedule for care.

Providers currently perform a service and then submit a claim to Medicare for payment.

Read the full article: ModernHealthcare

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