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What Hospices Need to Know About Primary Care First & SIP Program Benefits

Acclivity Health’s educational webinars cover application tips and planning for long-term success.

Acclivity Health recently partnered with NHPCO to present a two-part webinar series:Current and Emerging CMS Payment Models: Intersection between Hospice, Palliative and Primary Care. The team at Acclivity has experience with CPC+, ACOs, and other payment models similar to CMS’ forthcoming model, Primary Care First. If you couldn’t attend these online sessions, we’re providing overviews of what you missed, what you need to know, and how to prepare for Primary Care First.

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7 Ways Acclivity Can Help Your Hospice Apply For Primary Care First

Setting you up for application acceptance and ongoing success

The Centers for Medicare & Medicaid Services’ Primary Care First (PCF) model is rolling out in 2020, and applications will be available in the coming weeks. The Seriously Ill Population (SIP) model under PCF is designed to improve care for high-need, high-risk patients who currently receive fragmented or inadequate care. To do this, CMS will assign SIP patients to participating hospice programs, paying the providers to coordinate their care and avoid unnecessary hospitalizations.

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4 Reasons Why Hospices Should Consider Participating in Primary Care First

The Centers for Medicare & Medicaid Services recently unveiled their Primary Care First (PCF) model to improve the quality of care for Medicare patients while reducing costs. PCF consists of two different payment model options and is based on the Comprehensive Primary Care Plus program. This new model will be offered in 26 states and regions beginning January 1, 2020, and may roll out to additional regions as early as 2021.

The Seriously Ill Population (SIP) model under PCF is designed for high-need, high-risk patients who are receiving fragmented or inadequate care. CMS seeks to better coordinate their care and avoid costly hospitalizations. To achieve this, CMS will be assigning SIP patients to participating organizations, and paying the providers a per beneficiary, per month fee to coordinate their care and keep them out of the hospital. Additional reimbursement is available for face-to-face visits and for achieving quality targets. Here are four reasons hospices should seriously consider participating in the SIP model:

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CMS’s new payment models pave way for better primary care

Acclivity Health’s CEO weighs in on industry-changing Primary Care First model.

The Centers for Medicare & Medicaid Services recently announced a new primary care payment model that will provide an alternative to Comprehensive Primary Care Plus. This new model, called Primary Care First, will be offered in 26 states and regions beginning Jan. 1, 2020. Department of Health and Human Services Secretary Alex Azar predicts that the models will enroll 25 percent of traditional Medicare beneficiaries and providers, who must apply to take part, and the program may roll out to all states after five years pending its success.

Here’s what CMS has released so far about their new initiative.

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