Comprehensive Primary Care (CPC) Initiative


In late 2011, the Centers for Medicare & Medicaid Services (CMS) launched the Comprehensive Primary Care (CPC) initiative, a cooperative, multi-payer effort designed to help primary care practices deliver higher quality, better coordinated, and more patient-centered care.

Supported by the AAFP and made possible by the Affordable Care Act (ACA), the CPC initiative helps Medicare collaborate with commercial and state health insurance plans to provide bonus payments to primary care doctors who better coordinate patient care. More than 500 primary care practices are participating in the effort. These groups collectively represent 2,144 providers serving an estimated 313,000 Medicare beneficiaries across seven geographic areas.

Practices began delivering enhanced primary care services through the CPC initiative in the fall of 2012. Participating groups were selected through a competitive application process that took into account the use of health information technology, the ability to demonstrate recognition of advanced primary care delivery, and other factors.

The AAFP recognizes that the ACA – through programs like the CPC initiative – has created unprecedented opportunities for improving primary care and bolstering the role of the family physician. That’s why we’re working to ensure that these initiatives are fully realized and permanently incorporated into our care delivery system.

On January 23, CMS released the first annual evaluation reports for two initiatives testing advanced primary care, the Comprehensive Primary Care initiative( and the Multi-payer Advanced Primary Care Practice Demonstration(

For further information about CPC implementation, visit the  AAFP’s practice management CPC initiative website

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