In response to input from primary care stakeholders, PCF is premised on the delivery of advanced primary care, including: prioritizing the clinician-patient relationship enhancing care for patients with complex chronic needs, and focusing financial incentives on improved health outcomes. Primary Care First focuses on advanced primary care practices that are ready to assume financial risk and performance-based payments. The PCF payment methodology is designed to provide a more predictable revenue stream than traditional Medicare fee-for-service and enable patient-focused care. PCF aims to incentivize practitioners to address their beneficiaries’ chronic conditions early and comprehensively, mitigating the risk of costly hospital visits. Primary Care First prioritizes patients by emphasizing the clinician-patient relationship and increasing flexibility so practitioners can spend more time with patients and deliver care based on their needs. There is an urgent need to preserve and strengthen primary care. Primary care is central to a high-functioning healthcare system. By tying patient health outcomes to the payments that participating practices receive, the model incentivizes clinicians to spend more time with patients and provide coordinated, comprehensive care. PCF aims to foster independence for primary care practitioners through greater operating flexibilities and performance-based payments, enabling them to innovate the delivery of care based on their unique patient population and available resources. Primary Care First is a voluntary alternative payment model that offers an innovative payment structure to support the delivery of high quality advanced primary care. CMS is announcing that the Primary Care First Model Cohort 2 Request for Applications (RFA) and Practice Application are now available. In January 2021, the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMS Innovation Center) launched the Primary Care First (PCF) Model to test whether financial risk and performance-based payments that reward primary care practitioners for easily understood, actionable outcomes will reduce total Medicare expenditures, preserve or enhance quality of care, and improve patient health outcomes.
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