Health Affairs February 18, 2020
In October 2019, the Centers for Medicare and Medicaid Services (CMS) postponed the launch of Primary Care First (PCF), a voluntary, risk-based initiative intended to reduce Medicare spending by preventing avoidable hospital admissions and improving quality of care, especially for patients with complex chronic conditions. Originally slated for January 2020, the rollout was moved to January 2021 to allow for more time to collect and assess stakeholder feedback. The program will use performance-based adjustments to reward high-quality, patient-focused care. PCF uses a phased approach; reductions in acute hospital utilization rates are the primary clinical measure in Year 1, and other quality measures, such as patient experience and HbA1c control, will be added in the second year.
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