Healthcare Innovation November 23, 2020
Starting in 2021, the multi-payer alternative payment model will be offered in 26 regions
One of the questions surrounding the Center for Medicare and Medicaid Innovation’s ambitious Primary Care First (PCF) initiative is how many commercial insurers would participate in the multi-payer program. CMS recently released a list of participants, and it appears that payer partners have signed up in every region except Hawaii.
In PCF, CMS is encouraging other payers — including Medicare Advantage plans, commercial health insurers (including their self-insured business), Medicaid managed care plans (to the extent permitted and consistent with the Medicaid managed care plan’s contract with the state), and state Medicaid agencies —to offer participating practices similar financial support and incentives. CMS believes that...
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