Where Does Comprehensive Primary Care Plus (CPC+) Lead Primary Care? Lessons Learned in Ohio and Northern Kentucky

Abstract

The Ohio and Northern Kentucky (OH/NKY) region of the five-year federal Comprehensive Primary Care Plus (CPC+) project included 560 primary care practices, supported by 11 payers, offering an opportunity to comprehensively assess outcomes associated with this multipayer primary care payment reform initiative. This analysis of the first three years (2017-2019) shows significant improvements in emergency department and hospital use across the population of approximately 1 million attributed lives. Medicare and Medicaid achieved greater gains than the commercial insurers, as these populations generally have more opportunity for improvement due to higher disease burden and access issues, respectively. Standardization of claims data aggregation, measure alignment, and consistency of goals are important if multipayer primary care transformation is to be expanded and sustainable. Anecdotal evidence suggests that these approaches support and rejuvenate the participating primary care practices.

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