The Center for Medicare & Medicaid Innovation (CMMI) Announces Release of PCF Cohort 2
Request for Applications
CMMI has released the Request for Applications (RFA) for Cohort 2 of the Primary Care First (PCF) model. This model is based on many of the same underlying principles as Comprehensive Primary Care Plus (CPC+) and tests two new concepts: (1) shifting from making upfront investments in care delivery functions (as with CPC+) to a more population-based incentive model, paying practices primarily on outcomes, and (2) increasing reimbursement for practices caring for patients with complex, chronic needs, relative to historical aggregate Medicare FFS revenue.
The first cohort of participating PCF practices performance period began on January 1, 2021; the second cohort offers additional opportunities for practices to participate. The seriously ill population (SIP) component of the model is currently under review, and this RFA is not soliciting applicants for the SIP Component of PCF. This payment model is currently offered in 26 regions; visit the CMS PCF Model Options webpage for a list of regions and additional information, including upcoming webinar opportunities to learn more. 
The deadline for practices to apply for PCF Cohort 2 is April 30, 2021. Applicants can submit all application materials via an online portal available at Practices would begin participation in the model in January 2022 and continue for a five-year performance period through 2027. Practice and payer selections will take place in Spring-Summer 2021. CMS will focus on onboarding participating practices and payer partners to the model from August to December 2021.
HCCI Research Director and Executive Chairman
Co-Author White Paper on Home Care Workforce
HCCI Research Director Aaron Yao, has co-authored a white paper in Health Affairs entitled, In Traditional Medicare, Modest Growth In The Home Care Workforce Largely Driven By Nurse Practitioners, along with Dr. Thomas Cornwell, executive chairman, HCCI, and other leaders in the field.

According to the paper’s abstract, the home care workforce has increased “modestly but steadily” in size, while “the number of home-visiting nurse practitioners almost doubled, and the average number of home visits they made increased each year.”

In addition to his role at HCCI, Dr. Yao is a Research Scientist in the Section of Geriatrics at the University of Virginia School of Medicine, the Cheeloo Scholar Professor of Healthcare Management and Nursing, and Deputy Director of the Institute on Health and Aging at Shandong University. Dr. Cornwell is also Senior Medical Director of Village Medical at Home with VillageMD.

Learn more about the paper here.
HCCI Executive Chairman Co-applies for new
Home-Based Primary Care Member Interest Group
Dr. Thomas Cornwell, executive chairman of HCCI and Senior Medical Director of Village Medical at Home of Village MD, along with Dr. George Taler, Co-Founder of the MedStar House Call Program and Vice-President for Medical Affairs for MedStar Health Home Care, are applying to launch a home-based primary care (HBPC) Member Interest Group (MIG) at the American Academy of Family Physicians (AAFP). The goals of the AAFP MIG are to attract and grow physicians in HBPC and work with AAFP leadership and the organization’s 137,000 members to bring HBPC into the mainstream of healthcare. The MIG will work to influence CME and public policy at the AAFP to support and expand HBPC. If you are an AAFP member or know a Family Physician who wants to learn more about the MIG, please contact Dr. Cornwell. MIG members will need to agree to the AAFP code of conduct.
HCCIntelligence Update
HCCIntelligence Resource Center
HCCIntelligence Webinar
The last year has taught us many things, one of which is how important it is to work together to get through challenging times. And one of the best ways a team can do that is by building trust and acting towards a common vision. This webinar will help you do just that, by introducing a critical concept called Relational Leadership™. By applying this concept to the work you and your team do, you will better understand how their individual motivations and unique abilities to drive action and influence behavior can be brought together to achieve a sum greater than its parts.

  • Understand how to bring Relational Leadership™ concepts into your day-to-day work.
  • Learn the importance of psychological safety and identify ways to build it within teams.
  • Gain an understanding of a relational mindset and its importance to leadership.

  • Kari Mader, MD, MPH – Trainer, Primary Care Progress and Director of Clinical and Education Innovation, Aurora Community Health Commons
  • Kyle Turner – PharmD Trainer, Primary Care Progress and Assistant Professor (Clinical), University of Utah
Special HCCI COVID-19 Webinar Replay Available
Last month, HCCI hosted a special webinar entitled, Ready, Set, Go: Planning Ahead to Administer the COVID-19 Vaccine to HBPC Patients. During the webinar, house call programs at Rush University Medical Center in Chicago, and the William S. Middleton VA HBPC, highlighted their lessons learned and described the logistics and planning HBPC programs can put into place now to ensure they are “ready to go” once they receive vaccines for their patients. Another program in Reno, NV, Geriatric Specialty Care, described the creative solutions they used to administer vaccines to homebound patients, including partnering with local agencies (e.g., EMS, county health departments, pharmacies).
HCCIntelligence™ Resources Updated
The following HCCIntelligence™ resources are now available with the most up-to-date information:
See all the HCCIntelligence™ downloadable tools, tip sheets, sample forms and how-to guides on a variety of HBPC topics here.
Upcoming Education Opportunities
2021 Education Workshops
April 15-16, 2021

Designed for learners considering, or relatively new to, offering HBPC services for patients with complex medical conditions. Both clinical and practice operations topics are featured.
Virtual Workshop Rate: $525 ($100 savings)
June 24-25, 2021

Designed for experienced HBPC providers and practice staff seeking to advance their knowledge, skills, and productivity in caring for patients with complex medical conditions.
Virtual Workshop Rate: $525 ($100 savings)
Attend both workshops and save

Save over $150 by attending both activities. Enrollment fee of $899 includes a free post-workshop, one-hour consultation with our experts.
HCCI Online Courses
Chronic wounds can be a challenge for home-based primary care (HBPC) patients and may result in increased hospital admissions, lengths of stay, and higher healthcare costs. Unfortunately, many HBPC practices do not have dedicated staff to assess and treat wounds in a consistent manner, often resulting in wound management challenges. In this on-demand course, you will learn valuable strategies that will help you determine the etiology of a wound, document it accurately, and initiate a comprehensive plan of care. 
HCCI is offering free enrollment through April in our online course, Advanced Coding and Billing: Beyond E/M for House Calls (0.50 AMA PRA Category 1 Credits™). This special offer is provided through the generous support of The John A Hartford Foundation.
From Our Key Partners
The American Academy of Home Care Medicine has issued a Call for Speakers for its 2021 Virtual Annual Meeting with a deadline of this Friday, March 19 (11:59 ET). The meeting, entitled Home-Based Medical Care: Leadership Across the Landscape, will take place virtually on Friday, October 29 through Saturday, October 30, 2021 (registration opens on July 1).
Dr. Thomas Cornwell, executive chairman of HCCI, along with other key leaders, will present a webinar hosted by Trust for America’s Health (TFAH) in partnership with The John A. Hartford Foundation (JAHF), entitled COVID-19 Vaccine for Homebound Older Adults: Challenges and Solutions on Wednesday, March 31, from 2 to 3:30 Central Time. The webinar will explore the challenges and policy barriers to vaccine access and highlight innovative vaccine distribution practices and include a Q&A session.
The webinar is part of a larger initiative by the two organizations intended to identify and disseminate best practices and policy recommendations to ensure that home-bound older adults and people with disabilities are prioritized for the COVID-19 vaccine. As part of this effort, they are asking the field to please share any best practices and policy solutions being implemented to ensure vaccine access by this vulnerable population.
HCCI education and training initiatives including HCCIntelligence™
are funded in part by a grant from The John A. Hartford Foundation.
This email is an advertisement for the Home Centered Care Institute (HCCI). HCCI is passionately committed to its vision of
transforming our nation’s healthcare system by creating universal access to best practice house calls programs,
to ensure that medically complex patients have access to high-quality care in their homes.
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