A recent Health Affairs study shows that the Comprehensive Primary Care (CPC) Initiative is not saving Medicare money.
A big reason why CCM is working where most other new Medicare care models aren’t is that CCM is transactional – only care management work done is actually paid for by CMS. In models like CPC, where CMS pays care management fees (CMF) into historically fee for service practices, the new CMFs are not tied to an auditable care management work product. The CCM model helps Medicare get a more direct ROI – CMS only pays for care management work done. And, this work is saving Medicare money by helping keep people with chronic conditions out of the hospital, increasing rates of advance care planning and increasing connectivity between patients, community physicians and important community resources like home healthcare.