Numerous Payers Selected for CMS’ Coordinated Care Initiative | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Numerous Payers Selected for CMS’ Coordinated Care Initiative

June 8, 2012
by Gabriel Perna
| Reprints

Forty-five commercial, federal and State insurers made a pledge to work with the Centers for Medicare & Medicaid Services (CMS) in its Comprehensive Primary Care initiative, which aims to give more Americans access to quality healthcare at lower cost. Under the initiative, CMS will pay primary care practices a care management fee, initially set at an average of $20 per beneficiary per month, to support enhanced, coordinated services. 

As part of the new agreement, participating plans are offering an enhanced payment to primary care practices that provide high-quality primary care.   "We know that when we support primary care, we get healthier patients and lower costs," Acting CMS Administrator Marilyn Tavenner said in a statement. "This initiative shows that the public and private sectors can come together to meet the critical need for these services."

The 45 insurers are in Arkansas, Colorado, New Jersey, Oregon, New York’s Capital District-Hudson Valley Region, Ohio’s and Kentucky’s Cincinnati-Dayton Region, and greater Tulsa, Oklahoma. The groups signed agreements with CMS to participate in this initiative and were selected based on a diverse pool of applicants from commercial health plans, State Medicaid agencies, and self-insured businesses who hoped to work alongside Medicare to support comprehensive primary care.

The care management fee will come from primary care practices providing enhanced services for their patients, including offering longer and more flexible hours, using electronic health records; delivering preventive care; coordinating care with patients’ other health care providers; engaging patients and caregivers in managing their own care, and providing individualized, enhanced care for patients living with multiple chronic diseases and higher needs.

CMS will choose 75 primary care practices will be selected to participate in the Comprehensive Primary Care initiative in each designated market.  Interested primary care practices in each of the markets should complete the application pre-screen tool online at the Innovation Center’s website. Applications will be accepted until July 20.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More



Trump will Nominate Acting VA Secretary Wilkie for Permanent Position

Just a day after the Department of Veterans Affairs (VA) and Cerner inked their $10 billion EHR (electronic health record) deal, President Trump said he would be nominating Acting VA Secretary Robert Wilkie for the permanent position.

ONC Names API Server Showdown Stage 2 Winner

The Office of the National Coordinator for Health Information Technology (ONC) has named 1UpHealth as the Stage 2 winner of the “Secure API Server Showdown” challenge.

EHNAC Developing Trusted Exchange Accreditation Program

To align with the Trusted Exchange Framework and Common Agreement, the Electronic Healthcare Network Accreditation Commission, a nonprofit standards development organization and accrediting body, is working with other organizations to establish a new Trusted Exchange Accreditation Program.

Lawmakers Demand New VA CIO, Citing “Malign Neglect” on EHR Project

A group of Democratic federal lawmakers, five senators and six members of Congress, are calling out the U.S. Department of Veterans Affairs (VA) for what they call “malign neglect” in the agency’s efforts to achieve electronic health record (EHR) modernization.

Medical Record Access Proves Costly for Some Patients, GAO Report Finds

Federal law requires healthcare providers to give patients access to their medical records, but according to a new GAO report, some patients believe they’re being charged too much to access their records.

Parkland’s Innovation Bridge Takes ‘Genius Bar’ Approach to Digital Health Apps

Taking inspiration from the Apple Genius Bar and Ochsner Health System’s O Bar, the Dallas-based Parkland Center for Clinical Innovation in collaboration with Parkland Health & Hospital System has opened an “Innovation Bridge” to assist patients with health-related apps.