Reimbursement to Value in Telehealth - Karen Johnson

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Comprehensive Primary Care Plus (CPC+) - Regions & Payers Reimbursement to Value in Telehealth 13 April 2017 KC Digital Drive Venue: Kauffman Foundation, Kansas City

Health & Medicine

Comprehensive Primary Care Plus (CPC+)
A new model for primary care in America
CPC+ Participating Regions & Provisional Payer Partners
= Region spans the entire state = Region comprises contiguous counties
North Hudson-
Capital Region
Greater
Philadelphia Region
Ohio & Northern
Kentucky Region
Greater Kansas City
Region
REGION PARTICIPATING COUNTIES PROVISIONAL PAYER PARTNERS
ARKANSAS
Statewide
Arkansas Blue Cross Blue Shield
Arkansas Superior Select, Inc.
Arkansas Health & Wellness Solutions
HealthSCOPE Benefits
Medicaid
QualChoice Health Plan Services, Inc.
COLORADO
Statewide
Anthem Blue Cross and Blue Shield
Colorado Choice Health Plans
Medicaid
Rocky Mountain Health Plans
UnitedHealthcare
HAWAII Statewide Hawaii Medical Service Association
Continued on next page

REGION PARTICIPATING COUNTIES PROVISIONAL PAYER PARTNERS
GREATER Johnson County, KS; Wyandotte
KANSAS CITY County, KS; Clay County, MO; Blue Cross Blue Shield of Kansas
Jackson County, MO; Platte County, City
MO
MICHIGAN Statewide
Blue Cross Blue Shield of Michigan
Priority Health
MONTANA Blue Cross Blue Shield of Montana
Statewide Medicaid
PacificSource Health Plans
NEW JERSEY Amerigroup New Jersey
Statewide
Horizon Blue Cross Blue Shield of
New Jersey
UnitedHealthcare
NORTH
-HUDSON
CAPITAL
REGION (NY)
Albany County; Columbia County;
Dutchess County; Greene County;
Montgomery County; Orange County;
Rensselaer County; Saratoga
Empire Blue Cross Blue Shield
Capital District Physicians’ Health
County; Schenectady County; Plan (CDPHP)
Schoharie County; Sullivan County;
Ulster County; Warren County;
Washington County
MVP Health Plan, Inc.
OHIO & Aetna
NORTHERN Anthem Blue Cross and Blue Shield
KENTUCKY AultCare
Buckeye Health Plan
All counties in Ohio; Boone County,
KY; Campbell County, KY; Grant
County, KY; Kenton County, KY
CareSource
Gateway Health Plan of Ohio Inc.
Medical Mutual of Ohio
Molina Healthcare of Ohio, Inc.
Medicaid
Paramount Health Care
SummaCare, Inc.
UnitedHealthcare
Continued on next page

REGION PARTICIPATING COUNTIES PROVISIONAL PAYER PARTNERS
OKLAHOMA
Statewide
Advantage Medicare Plan (AMP)
CommunityCare
Blue Cross and Blue Shield of
Oklahoma
Medicaid
UnitedHealthcare
OREGON AllCare Health, Inc.
ATRIO Health Plans
CareOregon
Eastern Oregon Coordinated Care
Organization (EOCCO)
FamilyCare Health
Oregon Health Authority (Medicaid)
Moda Health Plan
PacificSource
Statewide PrimaryHealth of Josephine County
Providence Health Plan (PHP);
Providence Health Assurance (PHA)
Tuality Health Alliance (THA)
Umpqua Health
Western Oregon Advanced Health,
LLC
Willamette Valley Community Health
Yamhill Community Care Organization,
Inc.
GREATER
PHILADELPHIA
(PA)
Bucks County; Chester County;
Delaware County; Montgomery
County; Philadelphia County
Aetna
Independence Blue Cross/Keystone
Health Plan East
RHODE ISLAND
Statewide
Blue Cross Blue Shield of Rhode
Island
Medicaid
UnitedHealthcare
TENNESSEE
Statewide
Amerigroup Tennessee
Medicaid
UnitedHealthcare
Volunteer State Health Plan, Inc.

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