New Medicare Initiative Aims at Improving Care


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stroke-rehab1-300x199.jpg​More than 25 million Americans, including aging parents, spouses, and other seniors, may be impacted by a new program announced by the Centers for Medicare and Medicaid Services (CMS).  The new program, which builds upon the Comprehensive Primary care program that was launched in 2012, is called the Comprehensive Primary Care Plus model (or CPC+ for short).

Proposed Improvements

According to CMS, CPC+ is intended to encourage improvements in primary care, essentially through “supporting primary care doctors and clinicians to spend time with patients, serve patients’ needs outside of the office visit, and better coordinate care with specialists.” CMS predicts that the end result of these efforts will be “a health care system that results in healthier people and smarter spending of our health care dollars.”

Aging parents and other patients are expected to see benefits in the following areas:

  • Support for patients with serious or chronic diseases to achieve their health goals
  • Giving patients 24-hour access to care and health information
  • Delivering preventive care
  • Engaging patients and their families in their own care
  • Working together with hospitals and other clinicians, including specialists, to provide better coordinated care.

The Plan

CPC+ is intended to be set up in 20 regions and to use as many as 5,000 practices. This would involve approximately 20,000 doctors and perhaps as many as 25 million patients. The idea behind CPC+ is that it will give doctors more flexibility in determining what care they can give their patients that will work best for each individual. At the same time, the doctors will be incentivized for getting results that demonstrate that care has been improved. Better health outcomes will be the basis for receiving incentives, rather than measurements such as how many tests or doctor visits were involved.

CMS will be accepting applications from interested healthcare providers and partners over the next few months. An expected date for the launch of the program for aging parents and other members of the public has not been announced yet.

Source - CMS Press Release: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2016-Press-releases-items/2016-04-11.html​​


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