Primary Care First—What you need to know


Primary Care First:

The Primary Care First model offers an innovative payment structure to support the delivery of advanced primary care services. Through performance data monitoring and practice transformation consultation, our resource guide helps organizations maximize PCF program outcomes.

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Primary Care First aims to improve care quality and the patient experience of care while reducing expenditures. Designed to increase patient access to advanced primary care services, PCF is also designed to support practices caring for patients with complex care needs or serious illnesses.

There are several ways for providers to participate in PCF:

  • General Practices deliver primary care services to the general population;
  • Seriously Ill Population Practices deliver primary care services to the seriously ill patient population; and
  • Hybrid Practices participate in both tracks of the model.

The first cohort for the PCF model began on Jan. 1, 2021. Applications are now being accepted for the model’s second cohort, which will go live Jan. 1, 2022. The model’s Seriously Ill Population track has been delayed and is currently under further review.

To learn more about the program, take a look at our interactive map below. This map allows for the easy assessment of primary care utilization and other metrics state by state across the United States.

Mouse over a state to learn information including the average payment for primary care visits, how many times a year each patient visits their primary care doctor on average, and more.

Developing the right plans to perform well under the model requires deep, thorough analysis of participant data — and the time for that review is now.

Reach out to us today to learn more about the program and request a free consultation.

DataGen Thought Leadership

DataGen's thought leadership spans white papers, blogs, and third party publications. Read more about how Primary Care First and other CMS initiatives can affect healthcare organizations.

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