CMS picks Anthem BCBS in Colorado for CPC+ program

Health insurer Anthem Blue Cross and Blue Shield in Colorado was selected to participate in CMS’ Comprehensive Primary Care Plus initiative.

Advertisement

CMS announced its CPC+ initiative in April in an effort to improve primary care by helping practices transition to value-based care models. Under the five-year model, CMS will partner with commercial payers and state Medicaid agencies to provide monthly care management fees based on beneficiary risk tiers.

The Denver-based insurer currently participates in a CPC+ pilot program, set to end this year. Anthem and its affiliates in 13 states hope to have more than half of their spending in value-based payments instead of fee-for-service payments by 2018.

CMS spokesperson William Polglase said CMS will update its CPC+ Region and Payer List soon to reflect all chosen payers.

Providers in Colorado participating in CPC+ will be named later this year.   

Anthem Blue Cross and Blue Shield and Empire BlueCross BlueShield were also chosen by CMS to participate in the agency’s CPC+ initiative in Ohio, northern Kentucky and New York.   

More articles about payer issues:
Top Medicaid, Medicare health plans in 2016
Anthem, Cigna blame each other for violating acquisition agreement
The best and worst commercial health plans in 2016

Advertisement

Next Up in Uncategorized

  • Sacroiliac joint fusion technology is advancing, and the data shows it’s efficacy across different medtech companies. Five notes: 1. Tenon…

  • Robert Mach was appointed CEO of Schoolcraft Memorial Hospital in Manistique, Mich., effective Aug. 15. Mr. Mach brings a wealth…

  • Nashville, Tenn.-based HCA Healthcare, the largest health system in the country, is seeking finance chiefs at four of its hospitals. …

Advertisement

Comments are closed.