44 Insurers Participating in CMS' Primary Care Initiative

CMS announced agreements with 44 insurers representing markets in eight states — Arkansas, Colorado, New Jersey, New York, Ohio and Kentucky, Oregon and Oklahoma — that will participate in a multi-payor initiative to foster collaboration between private and public healthcare payors, in an effort to strengthen primary care.

As part of the Comprehensive Primary Care initiative, Medicare will collaborate with both commercial and state health insurance plans. CMS will pay primary care practices a care management fee of $20 per beneficiary per month to support more coordinated services. Participating commercial, state and federal insurance plans will also offer enhanced payments to primary care practices, according to CMS.

Approximately 75 primary care practices will be selected to participate in the Comprehensive Primary Care initiative — a four year program — in the markets where payors have been chosen. Applicants will be accepted until July 20.

Here are the 44 health insurers partnering with CMS across the regions selected:
  1. Arkansas Blue Cross and Blue Shield
  2. Arkansas Medicaid
  3. Humana (Arkansas)
  4. QualChoice of Arkansas
  5. Anthem Blue Cross Blue Shield of Colorado
  6. Cigna (Colorado)
  7. Colorado Access
  8. Colorado Choice Health Plans
  9. Colorado Medicaid
  10. Humana (Colorado)
  11. Rocky Mountain Health Plans (Colorado)
  12. Teamsters Multi-Employer Taft Hartley Funds (Colorado)
  13. UnitedHealthcare (Colorado)
  14. Amerigroup (New Jersey)
  15. AmeriHealth New Jersey
  16. Horizon Blue Cross Blue Shield of New Jersey
  17. Teamsters Multi-Employer Taft Hartley Funds (New Jersey)
  18. UnitedHealthcare (New Jersey)
  19. Aetna (New York)
  20. Capital District Physicians' Health Plan (New York)
  21. Empire Blue Cross (New York)
  22. Hudson Health Plan (New York)
  23. MVP Health Care (New York)
  24. Teamsters Multi-Employer Taft Hartley Funds (New York)
  25. Aetna (Ohio and Kentucky)
  26. Amerigroup (Ohio)
  27. Anthem Blue Cross Blue Shield of Ohio
  28. Humana (Ohio and Kentucky)
  29. UnitedHealthcare (Ohio and Kentucky)
  30. CareSource (Ohio)
  31. HealthSpan (Ohio)
  32. Medical Mutual (Ohio and Kentucky)
  33. Centene Corporation (Ohio)
  34. Ohio Medicaid within the Ohio Department of Job and Family Services
  35. Blue Cross and Blue Shield of Oklahoma
  36. CommunityCare (Oklahoma)
  37. Oklahoma Health Care Authority
  38. CareOregon
  39. ODS Health Plan (Oregon)
  40. Oregon Health Authority
  41. Providence Health Plans
  42. Regence Blue Cross Blue Shield of Oregon
  43. Teamsters Multi-Employer Taft Hartley Funds
  44. Tuality Health Alliance

More Articles on CMS:

CMS Eases Supervision for Outpatient Therapy Services
CMS Changes Documentation Rules for Pre-Existing Conditions
CMS Probes New Hampshire Medicaid Cuts

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