1. Care Transformation Collaborative of Rhode Island Supporting the Implementation of Comprehensive Primary Care Plus (CPC+) Advancing Primary Care in Rhode Island August 2016

2. Benefits of Participation in CTC-RI • Additional payer participation (PMPM) in CTC-RI (e.g. Medicaid Managed Care) • Supports data collection, reporting and utilization for performance measurement • Provides hands-on practice facilitation – Practice facilitators provide on-site transformation coaching Partnering in Best Practice Quality Improvement opportunity • Assistance with NCQA PCMH recognition • Preparation for sustainability payments under OHIC • Monthly, quarterly, and annual learning collaborative meetings

3. CTC Payment and Delivery Model Payment for Value • Infrastructure payments for care management and becoming a patient centered medical home • Incentive payments for quality, customer experience and utilization • Alignment with the Office of Health Insurance, CPC+ and MACRA Incentives • Delivery System Improvements • Access and Continuity • Care Management • Care Coordination • Patient and Family Engagement • Data Driven Population Health Management • Practice as a patient centered medical home

4. CPC+ Implementation in RI • Pathway for practices notparticipating in an ACO • Accepted in CPC+ Track 1 • CPC+ payer partners provide additional support through CTC • Three year common contract (includes alignment with OHIC requirements for PCMH sustainability payments) • Practices align with an ACO value-based contact in year 4 and 5 • Pathway for practices participating in an ACO • Accepted in CPC+ Track 1 or 2 • Participate in commercial ACO shared savings contracts • ACOs direct support for practice level transformation An opportunity for clinicians meeting the statutory thresholds to be considered as meeting Advanced Alternative Payment Model requirements. For 2019-2024, qualifying clinicians would be excluded from Merit Based Incentive Payment System (MIPS) requirements and quality for a 5% APM incentive payment.

5. Participation in CPC+/CTC-RI

6. Additional information • CTC+: https://innovation.cms.gov/initiatives/Comprehensive-Primary-Care-Plus • For any additional questions, please contact Care Transformation Collaborative: Care Transformation Collaborative of RI ctcri@umassmed.edu ctc-ri.org 401-528-3271

7. Questions?

8. Additional Slides for Reference Only

9. CTC Practices Reduce In-Pt Admissions CTC Savings $21,231,824 Total Program costs (15-16) $15,754,793 Net Savings $5,477,031

10. Quality Data

11. CAHPS Data