Amerigroup New Jersey Joins National Comprehensive Primary Care Plus Initiative

Amerigroup will participate in the multi-payer program sponsored and administered by CMS’ Center for Medicare and Medicaid Innovation

ISELIN, N.J.--()--Amerigroup New Jersey has been selected as a payer participant in the Centers for Medicare & Medicaid Services’ Comprehensive Primary Care Plus (CPC+) initiative, a five-year multi-payer model that’s the largest federal investment in primary care transformation to date.

“Amerigroup has demonstrated our commitment to payment innovation and provider collaboration”

“Amerigroup’s involvement in CPC+ reflects our belief in the important role that the primary care doctor can play as both caregiver and navigator. Amerigroup supports that role by providing physicians with actionable information, tools and resources to improve care,” said John Koehn, Amerigroup New Jersey state plan president. “The purpose of CPC+ is to deliver better health, improved care and lower costs to people enrolled in our Medicaid and Medicare Advantage programs, particularly those with the highest health care needs.”

Today’s announcement means Amerigroup will build on its participation in the existing Comprehensive Primary Care Initiative (CPCi) in New Jersey, a smaller model 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 Amerigroup has grown over the past four years.

“Amerigroup has demonstrated our commitment to payment innovation and provider collaboration,” said Koehn. “Our 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.”

Amerigroup currently works with 26 provider practices across New Jersey under its own value-based, patient-centered shared savings program for the Medicaid population. Those practices have more than 53,000 Amerigroup of New Jersey Medicaid members attributable to them, which is 26 percent of total Amerigroup Medicaid membership.

Building on the medical home concept, the CPC+ initiative intentionally aligns multi-payer payment reform with practice transformation, holding practices accountable for total cost of care and quality improvement. 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.

New Jersey providers who want to participate in CPC+ must apply to CMS and will be announced later this year.

Amerigroup is an HMO plan with a Medicare contract. Enrollment in Amerigroup depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on Jan. 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

You must continue to pay your Medicare Part B premium.

This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

About Amerigroup

Amerigroup is part of the Anthem Government Business Division (GBD). Through the GBD, Anthem serves 7.4 million seniors, people with disabilities, low-income families and other state and federally sponsored beneficiaries, and National Government Services enrollees (including the Federal Employee Program) in 26 states, making us one of the nation’s leading providers of health care solutions for public programs. Amerigroup accepts all eligible people regardless of age, sex, race or disability.


Doug Bennett Jr., (502) 889.2103

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Amerigroup New Jersey joins National Comprehensive Primary Care Plus Initiative.

Amerigroup New Jersey