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Arkansas clinics perform well in national program to strengthen primary care

LITTLE ROCK, Ark. (December 4, 2017) – The Centers for Medicare & Medicaid Services (CMS) recently announced shared savings results in the Comprehensive Primary Care initiative (CPCi), and of the seven regions participating in the pilot, Arkansas (statewide) is one of only two regions that realized net savings (after accounting for the care management fees paid). CMS will be distributing a savings of $1,052,683 to CPCi practices in Arkansas.

CPCi was a four-year pilot to promote collaboration between public and private healthcare payers to strengthen primary care. Practices enrolled in CPCi earned per- member per-month (PMPM) fees for the patients in their care to support practice transformation and care coordination efforts.

Of Arkansas CPCi practices, 95 percent met or exceeded the quality measure targets to achieve shared savings. Arkansas Blue Cross and Blue Shield also has experienced shared savings for the 2016 performance period, and will be distributing a total of $374,697 to these CPCi practices.

CPCi practices demonstrated improvement in many areas including, but not limited to: increased quality outcomes, reduced hospital admission and readmission rates, enhanced efforts for patient satisfaction, and surpassed national benchmarks on preventive health measures.

“I’m excited to see CMS’ announcement of the savings in the CPCi program,” said Alicia Berkemeyer, vice president of Enterprise Primary Care and Pharmacy Program. “We’re seeing similar savings with Arkansas Blue Cross membership, and will distribute those shared savings soon. These providers are leading the nation in transforming primary care into patient-focused, innovative practices. I congratulate these providers for their commitment to the betterment of primary care in Arkansas.”

Arkansas Blue Cross believes healthcare should focus on a triple aim of better care, smarter spending and healthier people. As the healthcare system transitions to models that reward value over volume, CPCi and patient-centered medical home (PCMH) practices are at the forefront of quality improvement, measurement and reporting. The 49 Arkansas CPCi clinics listed were identified by CMS as eligible for 2016 shared savings. Arkansas Blue Cross congratulates these providers on this accomplishment, as each of these CPCi doctors and clinics met or exceeded the cost and quality metrics determined by CMS.

 Clinic Name City
 Bradley Bibb MD PLLC Ash Flat
 Beebe Family Clinic Beebe
 Saline Medical Peds Group Inc Benton
 Bryant Medical Clinic Benton
 Benton Family Clinic Benton
 Baptist Health Family Clinic Bryant Bryant
 Baptist Health Family Clinic Cabot
 Ouachita Valley Family Clinic Camden
 Internal Medicine Diagnostics Cherokee Village
 B Brooks Lawrence MD PA Conway
 Freeman Family Medicine Conway
 Barry V Thompson MD PA Crossett
 Family Clinic Of Ashley Co PA Crossett
 Lofton Family Clinic MD PA De Queen
 Randy Walker MD PLLC De Queen
 SAMA Healthcare Services PA El Dorado
 Washington Regional Senior Clinic Fayetteville
 UAMS AHEC Family Medical Center Fayetteville
 Shipley And Sills Family Doctors Fort Smith
 UAMS AHEC Family Medical Center Fort Smith
 Glenwood Family Medicine Glenwood
 Greenbrier Family Clinic Greenbrier
 Main Street Medical Clinic Harrison
 Harrison Family Practice Clinic Washington Region Harrison
 Leslie Clinic PA Harrison
 Garner Family Medical Clinic Highland
 West Gate Medical Clinic Hot Springs
 Hamilton West Family Medicine Hot Springs
 AHEC Family Practice Jonesboro
 Clopton Clinic Of Jonesboro Jonesboro
 West Washington County Clinic Lincoln
 Baptist Health Family Clinic West Little Rock
 Baptist Health Family Clinic Hillcrest Little Rock
 Baptist Health Family Clinic Little Rock
 St. Vincent Physician Clinic LLC Little Rock
 Autumn Road Family Practice PA Little Rock
 Arkansas Family Care Network Little Rock
 John E Alexander Jr. MD PA Magnolia
 Baptist Health Family Clinic Malvern Malvern
 Baptist Health Family Clinic Maumelle Maumelle
 Dr. Andy’s Family Practice Mountain View
 North Central AR Medical Association Mountain Home
 Baptist Health Family Clinic Lakewood North Little Rock
 Baptist Health Family Clinic Perr Perryville
 Sherwood Family Medical Center Sherwood
 Community Physicians Group Siloam Springs
 UAMS Family Medical Center Springdale Springdale
 SW Family Practice Residency And Clinic Texarkana
 Alliance Senior Health PLLC West Memphis

CPCi ended in December 2016; however, a new model took its place on January 1, 2017. Arkansas was selected as one of 18 regions for the Comprehensive Primary Care Plus (CPC+) initiative. While there will be similarities, CPC+ is an expanded version, with more regions, more participating clinics, two track options, and an enhanced payment methodology. CMS has announced that CPC+ is an eligible Advanced Payment Model (APM) in MACRA, CMS’s new Quality Payment Program.

CMS expects up to 3,850 primary care practices and over 13,090 clinicians to participate in Comprehensive Primary Care Plus (CPC+) over the next 5 years. As of November 2017, there are 182 primary care practices and 617 clinicians participating in Arkansas.

Arkansas Blue Cross continues its collaboration with other Arkansas payers (Arkansas Superior Select, Inc., Arkansas Health & Wellness Solution, HealthSCOPE Benefits, Arkansas Medicaid, and QualChoice HealthPlan Services, Inc.) to assist doctors and clinics in the way they deliver care, centered on key Comprehensive Primary Care functions. These include: access and continuity, care management, comprehensiveness and coordination, patient and caregiver engagement, and planned care and population health.

Founded in 1948, Arkansas Blue Cross and Blue Shield, an independent licensee of the Blue Cross and Blue Shield Association, is the largest health insurer in Arkansas. Arkansas Blue Cross and its affiliates have more than 2,700 employees. The Blue Cross and Blue Shield Association is comprised of 36 independent, community- based and locally operated Blue Cross and Blue Shield Plans that collectively provide healthcare coverage for nearly 106 million members — one in three Americans.

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