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Effective July 2023

CMS Payment Adjustment For Primary Care First Participants

What to Know:

This July, CMS may be reducing quarterly Primary Care First capitation payments by up to 50% based on leakage metrics.

CMS will not provide any advance notice or warning

CMS will not explain the reduction or how to fix it

The adjustment is permanent unless you take action

How Acclivity can help:

We can start planning your mitigation strategies today, including…

  • Accurately predicting the size of your upcoming payment reduction
  • Identifying the drivers of the reduction by analyzing existing claims data
  • Offering step-by-step mitigation strategies to recapture your revenue
  • Enhancing your current workflows to reduce risk of future reductions
  • Providing on-going reports, tooling, and expertise so this doesn’t occur again
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