Primary Care First improves care quality and patient experience while reducing expenditures. Designed to increase patient access to advanced primary care services, PCF also supports practices caring for patients with complex care needs or serious illnesses.

The model is available to providers located in 26 regions across the country, with 847 practices and 14 payer partners participating as part of the first cohort.

Who this model is for

Primary Care First is for:

  • primary care practices with advanced primary care capabilities; eligible practitioners are those in the internal medicine, general medicine, geriatric medicine, family medicine and/or hospice and palliative medicine specialties; and
  • for the high-need population option, practices must have additional capabilities and care experience in furnishing services to the seriously ill patient population.

Timeline

PCF will have a five-year performance period. The first performance period began for the PCF component on Jan. 1, 2021. A second cohort for the program began on Jan. 1, 2022. The seriously ill patient component of the model has been delayed and is currently under review.

PCF Information Sheet

How we can help

Understanding how to maximize your program outcomes starts with understanding your data. We work with providers across the country participating in a variety of population, episode and primary care models.

DataGen’s PCF analytics allow you to:

  • trend and project PCF program revenue over time;
  • understand patterns of healthcare utilization and outcomes in your aligned beneficiary population by patient risk profile;
  • identify leaked primary care visits by beneficiary, practitioner and location; and
  • monitor the impact of care interventions toward meeting your goals.

We offer

  • Performance Period Monitoring for Alternate Payment Model

    We work with providers across the country participating in alternative payment models. DataGen provides key insight and consultation to help hospitals, health systems, post-acute and other healthcare providers evaluate new programs and monitor how effectively their strategies are working to ensure financial stability and high quality care.

  • Medical Practice Consulting

    We help practices implement patient-centered care models that improve outcomes and practice performance.

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