The CMS “Comprehensive Primary Care” demonstration project called “Comprehensive Primary Care” (CPC), a multi-payer initiative designed to strengthen primary care ended in 2016. Today, the CPC+ program a five year multi-payer initiative within the HHS Centers for Medicare and Medicaid Innovation (CMMI) https://innovation.cms.gov has been established to test a new way of paying providers to keep patients well.
The Health Collaborative http://healthcollab.org located in Cincinnati Ohio is going to launch a new tool for Ohio healthcare providers to help improve primary care in the region. The service referred to as the “hb/analytics Claims Data Co-Op Service” helps providers report for practices participating in the second phase of CPC+ https://innovation.cms.gov/initiatives/comprehensive-primary-care–initiative. The “hb/analytics service is structured as a data co-op so that health plans and regional practices can share in the cost and share in the ownership of the aggregated data.
The Health Collaborative supports 562 primary care practices with more than 2,500 doctors and providers located throughout Ohio and Northern Kentucky as they implement major changes in patient care coordination.
The “hb/analytics Claims Data Co-Op” was born from the need to seamlessly report and compare performance from the 75 Greater Cincinnati practices participating in the first CPC initiative. Practices struggled with bits of performance information across varying reporting formats from multiple payers, while health plans lacked a credible comprehensive view of a practice’s performance.
The team of practice support professionals at The Health Collaborative will offer group learning, individual coaching, and technical assistance to help practices successfully meet the expectations and goals of the CPC+ program.
With these new tools, practices participating in CPC+ are able to see their entire patient population in one report across multiple insurers including Medicare. They can capture progress on cost and utilization measures, and drill down to patient level detail. Practices can also see how they are performing against the benchmark set by all participating practices in the region and at the same time, fulfill reporting federal requirements.
For more information on hb/analytics, email Mary Maune, Account Manager at mmaune@healthcollab.org.