Evaluation of the Comprehensive Primary Care Initiative: Second Annual Report

Publisher: Princeton, NJ: Mathematica Policy Research
Apr 13, 2016
Deborah Peikes, Erin Fries Taylor, Stacy Dale, Ann O'Malley, Arkadipta Ghosh, Grace Anglin, Kaylyn Swankoski, Aparajita Zutshi, Lara Converse, and Randall Brown

Key Findings:

  • The Comprehensive Primary Care initiative’s second program year saw stable participation among payers and practices, as well as notable progress in the initiative’s implementation.
  • Results from the first two years of CPC show strongest improvement in care management for high-risk patients and in access to care.
  • Estimated reductions in Medicare expenditures resulting from the CPC initiative were not enough to offset the higher fees that Medicare provided to participating practices.
In October 2012, the Center for Medicare & Medicaid Innovation of the Centers for Medicare & Medicaid Services (CMS), in a unique collaboration between public and private health care payers, launched the Comprehensive Primary Care (CPC) initiative to improve primary care delivery in seven regions across the United States. CPC requires that practices meet annual milestones that help them build the capability to deliver CPC’s five functions: (1) access and continuity, (2) planned chronic and preventive care, (3) risk-stratified care management, (4) patient and caregiver engagement, and (5) coordination of care across the medical neighborhood. To help participating practices achieve these functions, CPC offers three main supports: enhanced payment, data feedback, and learning activities and technical assistance. The substantial transformation involved in executing these functions is expected to achieve better health care, better health outcomes, and lower costs. This second annual report to CMS describes the implementation and impacts of CPC over its first two years.