Primary care is pivotal to any health system and the healthcare industry has been laser-focused on increasing the quality and access to primary care. Over the years, it has become increasingly clear that the goals of optimizing quality, improving patient experience of care, and lowering costs can not be achieved without a strong primary care foundation.
To ensure high-quality, efficient, patient-centered care delivery, The Centers for Medicare and Medicaid Services (CMS) introduced the Comprehensive Care Plus (CPC+) initiative back in August 2016. Only recently, CMS has rolled out another opportunity for providers and payers to join CPC+, expecting 1000 more participants and change the way primary care is perceived and delivered.
How will CPC+ revolutionize primary care delivery?
CPC+ is a step up from CPC, or Comprehensive Primary Care model that CMS launched in 2012. CPC+ has extended its focus on five crucial goals:
Acknowledging the varying levels of experience with care delivery of practices, CMS has introduced two CPC+ tracks with different eligibility criteria and health IT requirements, running for five years. Track 1 encourages better care delivery, improvement in health outcomes and reduction in healthcare costs whereas track 2 pushes forward on delivering better care for high-need, high-risk patients. This apart, CPC+ will enhance primary care delivery in many ways:
Health IT crucial to succeeding in CPC+
CPC+ has laid significant emphasis on health IT and technological support to enhance the delivery and quality of primary care across populations. The most important goal that CPC+ would achieve is implementing a data-driven primary care and ensure adherence to regulations. There are certain regulations CPC+ demands:
Beyond regulatory requirements
The need of health IT goes beyond just CMS regulations- health IT is crucial if practices are looking to gain reimbursements and succeed with CPC+, in more than one ways:
Thrive in CPC+ with Datashop
Datashop, Innovaccer’s truly interoperable platform is purpose-built for delivering end-to-end value-based care. Datashop with its modular structure and AI-assisted platform offers intelligent care management, patient access, population health management, patient engagement programs, and all the health IT tools necessary for healthcare organizations to succeed with CPC+. With a primary focus on advanced care planning and top-notch quality care, Datashop has many offerings for organizations participating in CPC+:
Only recently, Innovaccer has qualified to be a trusted partner to client practices participating in CPC+ by CMS and offer solutions and analytics on all aspects of primary and timely care. Innovaccer’s Datashop can help providers gain clinical insights and needed to support the delivery of primary care. Lastly, Innovaccer can also provide practices with a HIT letter of support during CPC+ application process.
Any practice looking to improve primary care must first define the problem it is trying to correct. More than that, it should also consider the feasibility of implementation. Improving primary care in a country that spends a hefty 17.1% of its GDP on healthcare, is not only critical but also demands an analytical and a process-based framework aimed to better the overall quality of care. CPC+ is one such initiative by CMS that brings together providers, payers and health IT together with a commitment to align payment and quality with care. Datashop Care was developed to optimize care delivery across all aspects and with CPC+, healthcare organizations can shape primary care and be the helping hands patients need.
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