Direct Primary Care: Carolina Health Alliance
CCPN is excited about our partnership with Carolina Health Alliance (CHA), a broker providing insurance options to employers, including an employer-based Direct Primary Care (DPC) product.
Under DPC, participating practices are paid a fixed, per-member, per-month (PMPM) fee for employees and their dependents. The PMPM fee is paid to the practice whether the patient comes to the office or not.CHA’s DPC product covers a fixed set of primary care services, such as acute care visits, preventive office visits, and limited labs and procedures. Any service not covered under DPC will be reimbursed at 150% of the Medicare fee schedule.
In addition to the PMPM payment, there are also opportunities to earn care outcome bonuses (through meeting quality metrics) and referral pattern bonuses.
The CHA partnership will be piloted in the Triad and Southern counties of North Carolina. If you are interested in participating, please contact Jessica Whelan at 919-926-3894 via email. firstname.lastname@example.org. For more information about CHA, please see their website.