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Anthem in Colorado currently participates in the Comprehensive Primary Care Initiative (CPCi), a pilot that launched in 2012 and will sunset at the end of 2016. CPC+ represents an opportunity to build on the success of CPCi along with the other value-based, patient-centered care programs that Anthem has grown over the last four years under its provider collaboration work, known as Anthem Togetherworks. Anthem has demonstrated our commitment to payment innovation and provider collaboration and transformation, said Ramseier. Anthems selection as a payer participant in CPC+ presents an opportunity to collaborate with CMS, providers and other payers to continue to shift our delivery system to one that rewards quality and value. Anthem works with more than 2,600 providers across Colorado under its own value-based, patient-centered care program. By 2018, Anthem and its affiliated health plans in 13 other states aim to have more than half of their combined spending in alternative payment models rather than traditional fee for service arrangements. Building on the medical home concept, CPC+ intentionally aligns multi-payer payment reform with practice transformation, holding practices accountable for total cost of care and improved quality. Under this initiative, practices will be able to engage in systematic data sharing and collaborative learning experiences and will also have an opportunity to share savings achieved. CMS sought to collaborate with other payers in 20 markets and will work with health information technology vendors to provide products to advanced CPC+ practices. Colorado providers who want to participate in CPC+ must apply to CMS and will be announced later this year.
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A peek behind the scenes could help.