Family Medicine for America's Health

Comprehensive Primary Care Payment Definition

Comprehensive Primary Care Payment Definition

*WORKING DEFINITION OF COMPREHENSIVE PRIMARY CARE PAYMENT (CPCP)

 

Comprehensive Primary Care Payment (CPCP) is a fixed, periodic payment for services delivered over a period of time. It is an up-front comprehensive payment to provide high-quality and high-value primary care services to a patient population. CPCP is adjusted for chronic disease burden, social determinants of health, quality and utilization.

 

Comprehensive primary care payment is designed to offer physicians and their teams the freedom to do what they do best: Deliver the care that best meets the needs of their patients. CPCP stands in contrast to the Fee-For-Service (FFS) system that limits care to face-to-face visits and is driven by the documentation requirements to support billing of an office visit. The CPCP payment model incentivizes doctors to focus on health outcomes rather than the volume of visits or tests.

 

 

Comprehensive Primary Care Payment adjusts payment to address the complexity of the patient population by meeting defined quality measurers, efficiency and necessary infrastructure investments to achieve practice transformation.

 

 

For a working definition of Comprehensive Primary Care Payment see (downloadable pdf).

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