Comprehensive Primary Care Initiative (CPCI)


In late 2011, the Centers for Medicare & Medicaid Services (CMS) launched the Comprehensive Primary Care Initiative (CPCI), 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 Patient Protection and Affordable Care Act (ACA), CPCI 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 CPCI 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 additional funds provided through CPCI are designed to help primary care physicians:

  • Manage care for patients with high health needs;
  • Ensure access to care;
  • Deliver preventive care;
  • Engage patients and caregivers;
  • Coordinate care across the medical neighborhood.

The AAFP has been a strong proponent of CPCI and has provided ongoing feedback about the program to CMS, including a recommendation that aggregated data from CPCI be regularly and widely discriminated.

At the same time, the AAFP also has advanced a series of broader policy positions to further strengthen primary care medicine. Some of these include:

  • Repeal of the fatally flawed Medicare Sustainable Growth Rate (SGR) formula;
  • Resolution of current payment discrepancies between primary care physicians and specialists;
  • Accurate valuations of primary care services.

The AAFP recognizes that the Patient Protection and Affordable Care Act (ACA)  – through programs like CPCI – 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.

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