When you can’t kick a cold, who do you go to? Primary care physicians are there for you when something’s feeling off and are also often the first to notice underlying health issues. The Comprehensive Primary Care Plus (CPC+) model is a means to help strengthen primary care, promote health, and lower healthcare costs.

What is CPC+?

CPC+ is a multi-payer initiative led by the Centers for Medicare and Medicaid Services (CMS) designed to improve primary care with two five-year rounds that are location specific. It provides practices with a comprehensive learning system and data feedback that can help guide a practice’s decision-making and deliver better care.

Healthcare organizations have a significant opportunity to improve the outcomes with the advent of innovative delivery and payment models tapping into the advances in technology and its adoption. To do this, organizations need a solution.

Our enhanced Population Health solutions help practices understand disease patterns, better assess risk, and improve patients’ engagement and compliance. At eClinicalWorks, we are constantly driven to innovate and find ways to further benefit practices interested in Population Health.

In 2004, the Centers for Medicare & Medicaid Services introduced Hierarchical Condition Category (HCC) coding.

Evaluating patient risk is as old as medicine itself. As early as the fifth century BCE, notes a 2011 study from the Centers for Disease Control and Prevention (CDC), the Hippocratic tradition focused on the prevention of disease through diet and exercise. 

But ancient wisdom works best when combined with modern technology.

Matt Cady, Chief Innovation Officer at Florida’s Adult Medicine of Lake County, says that before his practice began using eClinicalWorks to track patients moving among care settings, they had a system in place: Post-It® Notes and spreadsheets.

In other words, in spite of having the cloud-based eClinicalWorks EHR, when it came to keeping track of patients moving from a hospital setting to home, they were still, in effect, using paper records. Each provider knew what was going on with their patients, but communicating that information to colleagues was cumbersome and time-consuming.

Healthcare has tremendous power to do good, but its very complexity can also bring complications. Nowhere is that clearer than when patients are moving from one care setting to another.