January 5, 2017
By Tom Canty, Vice President and General Manager, Empire BlueCross BlueShield Government, Labor and Special Account
Empire BlueCross has been selected as a payer participant in the Centers for Medicare & Medicaid Services’ Comprehensive Primary Care Plus (CPC+) initiative, a five-year multi-payer model that’s the largest federal investment in primary care transformation to date.
Empire’s involvement in CPC+ reflects its belief in the important role that the primary care doctor can play as caregiver and navigator by providing physicians with actionable information, tools and value-based payments that reward physicians for improved quality, patient experience and affordability.
Empire currently participates in the Capital District-Hudson Valley Region Comprehensive Primary Care Initiative (CPCi), a pilot that launched in 2012 and will sunset at the end of 2016. CPC+ represents an opportunity to build on the success of CPCi along with the other value-based, patient-centered care programs that Empire has grown over the last four years under its provider collaboration work, known as Togetherworks.
Empire works with nearly 10,200 providers across New York under its own value-based, patient-centered care program. By 2018, Empire and its affiliated health plans in 13 other states aim to have more than half of their combined spending in alternative payment models rather than traditional fee for service arrangements.
Building on the medical home concept, CPC+ intentionally aligns multi-payer payment reform with practice transformation, holding practices accountable for total cost of care and improved quality. Under this initiative, practices will be able to engage in systematic data sharing and collaborative learning experiences and will also have an opportunity to share savings achieved.