Welcome to the PAC portal!

The Health Care Payment Learning and Action Network (LAN) launched the Primary Care Payer Action Collaborative (PAC) in October 2016 to serve as a “national table” where public and private payers work together on the shared goal of improving primary care.

Prior to August 2017, the PAC’s work followed two participant-driven tracks:

  • Track 1, Defining and Assessing Regional Success in Comprehensive Primary Care Plus (CPC+); and
  • Track 2, Operationalizing CPC+ Data Distribution and Aligning Quality Measure Sets and Reporting.

Since August 2017, the PAC’s focus has narrowed to closely support payers in CPC+ as they implement alternatives to fee-for-service payment in “CPC+ Track 2.”

Events

The Events tab lists dates and times for PAC virtual sessions since August 2017.

 

Documents

The Documents tab is a repository of materials from PAC virtual collaborative sessions and the PAC’s work in general, including slide presentations, meeting highlights, and other payer resources. The materials are organized by focus areas of the PAC with a separate section for CMS resources on CPC+. The dates listed are when the files were added to the library.


PAC SessionDateTime
Session 5November 14, 20173:00 - 5:00pm
This learning lab is specific to Medicaid considerations, including approaches to aligning Medicaid payment models with CPC+ Track 2 and identifying related open questions for potential further discussion by the PAC.
Session 4October 10, 20172:00 - 3:30pm
This learning lab continues the discussion on implementation issues, including timing considerations for model roll-out, then pivots to practice engagement and strategies to support providers’ transition to a new model of care.
Session 3September 28, 20171:00 - 2:30pm
This learning lab defines key implementation steps in developing any alternative to FFS payment for primary care practices: calculating payments, setting minimum volume thresholds, determining risk adjustment and financial reconciliation policies, and other essential tasks. Participants identify challenges and share solutions for each step in the process.
Session 2September 14, 20173:30 - 5:00pm
This learning lab discusses initial design decisions in developing any alternative to FFS payment for primary care practices, ranging from which lines of business to include in the model, to handling patient attribution. Participants identify challenges and share solutions for each step in the process.
Session 1August 29, 20171:00 - 2:00pm
This kick-off webinar outlines PAC objectives and serves as a preview of four upcoming “learning labs” on key payment design and implementation topics. As part of this interactive session, members of the CMS CPC+ team outline key principles and features of the CPC+ model and address participant questions.

PAC Learning Labs on Alternatives to FFS Payment in CPC+ Track 2

Learning Labs on Alternatives to FFS Payment in CPC+ Track 2

This section includes an overview of the PAC and materials from each virtual meeting beginning in August 2017, when the PAC tailored learning lab content and discussions to support payers as they operationalize alternatives to fee-for-service payment specifically in “CPC+ Track 2.”

PAC Overview, July-October 2017September 21, 2017
Overview
PAC Session 1: Introduction to Designing and Implementing Alternatives to FFS in CPC+ Track 2 September 21, 2017
Live Poll Results | Highlights | Slides

General

These documents provide a high-level overview of the evolving work of the PAC, including its scope and objectives.

PAC Work Track DescriptionsApril 13, 2017
PAC In-Person Kickoff Meeting HighlightsMarch 15, 2017

Track 1

Defining and Assessing Regional CPC+ Success

This section includes available materials from each virtual meeting of the PAC’s Track 1, which focused on helping payers develop a vision for regional success and practice transformation in CPC+. Track 1 meetings took place from December 2016 through March 2017.

PAC Track 1 (Vision of Success) Meeting 1 March 15, 2017
Highlights | Slides
PAC Track 1 (Vision of Success) Meeting 2 March 15, 2017
Highlights | Slides | Transcript | Recording
PAC Track 1 (Vision of Success) Meeting 3April 13, 2017
Highlights | Slides | Transcript | Recording
PAC Track 1 (Vision of Success) Meeting 4 April 27, 2017
Highlights | Slides

Track 2

Operationalizing CPC+ Data Distribution and Aligning Quality Measure Sets and Reporting

This section includes available materials from each virtual meeting of the PAC’s Track 2, in which payers shared their challenges and strategies related to data management in CPC+. Track 2 meetings took place from December 2016 through February 2017.

PAC Track 2 (Data & Quality) Meeting 1 March 15, 2017
Highlights | Slides
PAC Track 2 (Data & Quality) Meeting 2 March 15, 2017
Highlights | Slides | Transcript | Interview Highlights | Recording
PAC Track 2 (Data & Quality) Meeting 3 April 27, 2017
Highlights | Slides | Transcript | Recording

 

CMS CPC+ Resources

This section contains and links to CMS materials about CPC+ that participating payers may find useful.

CPC+ Frequently Asked Questions: Payment PolicySeptember 21, 2017
View the PDF
CPC+ Payment MethodologiesSeptember 21, 2017
View the PDF
2017 CPC+ Implementation Guide: Guiding Principles and Reporting
View the PDF

For questions about the PAC, please contact Jennifer Sulkin

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