Community Care Physicians Network (CCPN)

CCPN: Your Partner in Medicaid Reform

Across North Carolina, health care providers are preparing for changes in a Medicaid program that will be managed by regional provider-led entities (PLEs) or statewide managed care organizations (MCOs).

To support the state’s plan for Medicaid reform, physician leaders from the NC Academy of Family Physicians, the NC Community Health Center Association and the NC Pediatric Society asked Community Care of North Carolina (CCNC) and its networks to help established Community Care Physician Network, LLC (CCPN), an open, non-exclusive, clinically-integrated network.

Currently 60 percent of the primary care provided to North Carolina Medicaid recipients is delivered by rural, independent and safety net practices. This new physician-led organization gives these physicians and other health care providers a way to partner with PLEs or MCOs while retaining independence.

Key principles of CCPN

1)    CCPN is an open, non-exclusive network. It seeks to partner rather than to compete, offering prospective PLEs and MCOs access to an extended primary care infrastructure and value-added services. A PLE choosing to extend its regional or statewide network in a rural area, for example, may do so quickly and cost-effectively through a contract or partnership with CCPN.

2)    CCPN’s physician members will choose the contracts they wish to participate in based on a set of principles without “all-or-nothing” choices.

3)    While the main purpose of CCPN is to build upon the existing CCNC Medicaid infrastructure,  CCPN and its members may also choose to partner with providers on other populations

4)    Physician governance – CCPN is led by a board composed primarily of participating physicians.

Aims of CCPN

1)    Strengthen North Carolina’s medical home model, population health management infrastructure and patient access to care in rural and underserved areas.

2)    Prepare independent physician practices to meet the requirements of participation in the new Medicaid program delivery system.

3)    Provide guidance and documentation tools to assist the physician/practice in on-going quality improvement, patient satisfaction and cost-savings practices and documentation.

4)    Open doors to specialists and hospitals on population health management collaboration.

5)    Enhance long-established relationships and partnerships with community-based hospitals, behavioral health organizations, and post-acute care organizations.

CCPN Services

Initial services offered by the CCPN rely on the population health management infrastructure provided by CCNC, including quality data collection and reporting; care and disease management; comprehensive medication management; population stratification; and behavioral health integration.

Other centralized services and supports being reviewed by physician leaders include group purchasing; back office support (e.g., coding and billing); PCMH Certification; access to 24/7 nurse advice line; health coaching; and transitional support across providers and delivery settings.

For more information visit the CCPN website.