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Fremont Clinics Participating in Historic Public-Private Partnership to Strengthen Primary Care
03/16/2018

Initiative Provides Primary Care Practices with Additional Resources to Deliver Comprehensive Primary Care

Fremont Health Family Care, Fremont Health Internal Medicine, Prairie Fields Family Medicine, and 23rd Family Medicine join more than 2,900 primary care practices nationwide participating in Comprehensive Primary Care Plus (CPC+), a partnership between commercial, state, and federal payer partners. This partnership is designed to provide improved access to quality health care at lower costs.

Through CPC+, CMS and payer partners support practices to deliver enhanced, coordinated, high-quality primary care. For patients, this means that physicians may offer longer and more flexible hours; coordinate care with patients’ other health care providers; better engage patients and caregivers in managing their own care; and provide individualized, enhanced care for patients living with multiple chronic diseases and higher needs.

“Following the CPC+ model, providers and patients are more proactive, rather than reactive,” said James Sullivan, MD, Fremont Health Family Care. “We’re helping high risk patients take a more active role in their own health and giving them the assistance and tools to effectively manage their diabetes, COPD, or heart disease. Managing a chronic disease can seem overwhelming to patients, and with this program, we’re able to give patients extra time and support they need to be successful.”

The five-year model, which started on January 1, 2017, brings together a diverse pool of commercial health plans, state Medicaid agencies, and self-insured businesses in 14 regions across the country to work alongside Medicare to support comprehensive primary care. Four new regions joined CPC+ as of January 1, 2018: Louisiana, Nebraska, North Dakota, and the Greater Buffalo Region of New York.

Eligible primary care practices in each market were invited to apply to participate and were chosen based on their use of health information technology; ability to demonstrate advanced primary care delivery capabilities; service to patients covered by participating payer partners; participation in practice transformation and improvement activities; and diversity of geography, practice size, and ownership structure.

“Our ultimate goal, and the CPC+ program goal, is to keep our patients healthier. So we’re hoping that by providing more care continuity and comprehensive care management, we’ll keep people out of the hospital and the emergency department,” said Tom Wolf, MD, Prairie Fields Family Medicine.

CPC+ is administered by the Center for Medicare & Medicaid Innovation (CMS Innovation Center). The CMS Innovation Center was created to test innovative payment and service delivery models that have the potential to reduce program expenditures while preserving or enhancing the quality of care.

For more information about CPC+, visit: https://innovation.cms.gov/initiatives/comprehensive-primary-care-plus/.