CPCI 2016 Final Performance Year Results Financially Underwhelm but Demonstrate Improved Quality
On 9/20/17, CMS released the 2016 final performance year results for the largest primary care demonstration prior to the CPC+ demonstration, the Comprehensive Primary Care Initiative or CPCI.
The CPCI involved over 2,000 primary care practices in seven different regions throughout the country. The model was an all-payer model involving upfront care coordination fees and a shared savings component.
Claims costs were 0.2% lower than benchmark for an overall gross savings of $5.2 million. However, the program experienced an overall -$51.3 million loss net of care management fees. Two regions, Oklahoma and Arkansas, were net positive as they had been in 2015.
All regions kept COPD admissions below expected levels in 2016. All regions except New York kept Heart Failure admissions below expected levels in 2016. Aside from Arkansas and Ohio, readmission rates decreased in 2016.
An interactive online dashboard can be viewed at https://public.validatehealth.com/superset/dashboard/1/ for further exploration of results.