CPC+ Payment Methodologies
Beneficiary Attribution, Care Management Fee, Performance-Based Incentive Payment, and Payment Under the Medicare Physician Fee Schedule
This Executive Summary provides an overview of the methodologies that the Centers for Medicare & Medicaid Services (CMS) will use for the Comprehensive Primary Care Plus (CPC+) payment model being tested in Medicare fee-for-service (FFS). The Executive Summary and the detailed technical specifications for each of the methodologies are organized as follows:
- Chapter 1 introduces the CPC+ attribution and payment elements
- Chapter 2 describes the Beneficiary Attribution
- Chapter 3 describes the Care Management Fee
- Chapter 4 describes the Performance-Based Incentive Payment
- Chapter 5 describes the Payment under the Medicare Physician Fee Schedule
- Chapter 6 provides conclusions
| Attachment | Size |
|---|---|
 cpcplus-methodology.pdf | 2.32 MB |
