Application Deadline Set for July 20th

Today the CMS Innovation Center announced agreements with 10 commercial, federal and state insurers in the Cincinnati/Dayton/NKY region to participate in the Comprehensive Primary Care initiative, a new multi-payer model designed to strengthen the primary care system and improve quality while lowering costs.

The plans in the region with signed agreements are, Aetna, Amerigroup (Ohio only), Anthem Blue Cross Blue Shield of Ohio, Humana, UnitedHealthcare, CareSource (Ohio only), HealthSpan, Medical Mutual, Centene Corporation (Ohio only), Ohio Medicaid  within the Ohio Department of Job and Family Services.

Under the Comprehensive Primary Care initiative, CMS will pay selected primary care practices a care management fee to support enhanced, coordinated services.  Simultaneously, participating commercial, state, and other payers are also offering an enhanced payment to primary care practices that provide high-quality primary care. Up to 75 practices in the region will be selected to participate.

One criterion for practice selection is the percentage of the practice’s patients that are covered by Medicare and the participating plans. Applicants are expected to have at least 60% of their patients covered by Medicare and other program participants.

Interested primary care practices should complete the application pre-screen tool. This is the first step in applying to the program. Practices will not be allowed to submit an application without first having completed the pre-screen tool. Applications will be sent to qualifying practices. The anticipated date for the release of the application is June 11th. Completed applications will be accepted until July 20th. All selections will be made by CMS program administrators.

The Health Collaborative will hold an information session on June 16th, at the Voice of America Learning Center, for practice leaders seeking more information about the program or the application process. To learn more about the session and register to attend, visit the Health Collaborative’s website the-collaborative.org and click on the registration button.

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The Health Collaborative assembles diverse community stakeholders; hospitals, physicians, insurers, patients, business, education, government and community members, with the goal of generating measurable, sustainable health improvement. The work of the Collaborative has been recognized by the U.S. Department of Health & Human Services, the Agency for Healthcare Research and Quality, and the Robert Wood Johnson Foundation. For more information, visit www.the-collaborative.org.