Primary Care and Direct Contracting Models


  • In April 2019, CMS announced new Direct Contracting and Primary Care First models
    • CMS offers more details on Direct Contracting in factsheets here and on Primary Care First here

  • CMS announced Comprehensive Primary Care Plus (CPC+), a five-year model beginning in 2017 for primacy care practices. Learn more on the CMS CPC+ webpage 

NAACOS Member Resources 

  • NAACOS summary of CMMI’s new voluntary kidney care models

  • NAACOS Review of Primary Care First Model

  • NAACOS chart comparing Direct Contracting and other high-risk ACOS

  • Primary Care First Model Overview

  • CMMI presentation on newly announced models at Spring 2019 Conference available on-demand

  • NAACOS chart of CMS Innovation Center models and their overlap with ACOs

  • NAACOS resource comparing CPC+ and MSSP, including details on criteria for ACO primary care practices participating in both programs 

News and Advocacy

  • NAACOS submits feedback on new Geographic and Professional and Global Options of Direct Contracting Models from the CMS Innovation Center

  • NAACOS released a statement welcoming more options for value-based payment arrangements in the form of Direct Contracting and Primary Care First

  • NAACOS calls for greater transparency in Innovation Center’s work

  • CMS releases 2019 health IT requirements and electronic quality measure reporting requirements

  • NAACOS submits comments in response to CMS’s Request for Information on Direct Provider Contracting models
  • CPC+ Round 2 regions selected by CMS, more details here

  • CMS announces CPC+ practices for Round 1 in 2017

  • CMS reverses their initial decision to exclude ACO primary care practices from also participating in the Comprehensive Primary Care Plus (CPC+) initiative.

  • NAACOS Letter Urges CMS to Include ACOs in CPC+
    • CMS letter responds to NAACOS concerns and amends CPC+ policy

To read more about developments related to CPC+ and other key policy issues effecting ACOs, please visit our newsletter page.

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