To Strengthen The Primary Care First Model For The Most Frail, Look To The Independence At Home Demonstration

Health Affairs February 18, 2020
Bruce Leff, Peter Boling, George Taler, Bruce Kinosian

In April 2019, the Center for Medicare and Medicaid Innovation announced a new payment model, Primary Care First (PCF). The model, a successor to Comprehensive Primary Care Plus, is designed to provide reliable support for advanced primary care practices, offering reduced administrative burdens and performance-based payments. Within PCF there is a separate track –- targeted at the seriously ill population (SIP) – with higher payments for up to a year to encourage primary care practices to “take responsibility” for those Medicare beneficiaries who don’t presently have a regular source of primary care. Within 8-12 months — after those high-need patients hopefully stabilize — they shift from the SIP track to the general PCF payment model.

But what about those...

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