
______
Alex H. Krist, Ramon Cancino,
and Marc Meisnere, Editors
Committee on the Response to the
Centers for Medicare & Medicaid Services
CY 2025 Advanced Primary Care Hybrid
Payment Request for Information
Board on Health Care Services
Health and Medicine Division
Consensus Study Report
NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by contracts between the National Academy of Sciences and the American Academy of Family Physicians, American Board of Family Medicine, Academic Pediatric Association, Arnold Ventures, California HealthCare Foundation, The Commonwealth Fund, Healing Works Foundation, Milbank Memorial Fund, National League for Nursing, New York State Health Foundation, and Samueli Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-72730-3
International Standard Book Number-10: 0-309-72730-8
Digital Object Identifier: https://doi.org/10.17226/27985
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2024. Response to the Centers for Medicare & Medicaid Services CY 2025 advanced primary care hybrid payment request for information. Washington, DC: The National Academies Press. https://doi.org/10.17226/27985.
The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.
The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president.
The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.
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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.
Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.
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ALEX H. KRIST (Cochair), Codirector, Ambulatory Care Outcomes Research Network, Fairfax Family Medicine Residency; Professor, Virginia Commonwealth University
RAMON CANCINO (Cochair), Executive Director, Primary Care Center Senior Medical Director, Medical Management, University of Texas Health San Antonio
ANDREA ANDERSON, Associate Chief of Family Medicine, George Washington University School of Medicine and Health Sciences
BETH BORTZ, President and CEO, Virginia Center for Health Innovation
KAREN L. FORTUNA, Assistant Professor of Psychiatry, Dartmouth Geisel School of Medicine
ISHANI GANGULI, Associate Professor of Medicine, Brigham and Women’s Hospital, Harvard Medical School
KEVIN GRUMBACH, Professor, Family Community Medicine; Chair, Family and Community Medicine, University of California, San Francisco
MICHAEL J. HASSELBERG, Associate Professor, Department of Psychiatry, Associate Professor of Clinical Nursing, University of Rochester Medical Center
LAUREN HUGHES, State Policy Director, Farley Health Policy Center; Associate Professor, Department of Family Medicine, University of Colorado Anschutz Medical Campus
CANDACE SPROTT, Attending Physician, Department of Internal Medicine, Southern California Permanente Medical Group
EBONI WINFORD, Vice President of Research and Health Equity, Clinical Director of National Training and Consulting, Licensed Psychologist, Behavioral Health Consultant, Cherokee Health Systems
STEPHANIE GOLD, Associate Professor, Department of Family Medicine, Scholar, Farley Health Policy Center, University of Colorado Anschutz Medical Campus
MARC MEISNERE, Study Director
ABIGAIL GODWIN, Research Associate
ADAEZE OKOROAJUZIE, Senior Program Assistant
SHARYL NASS, Senior Director, Board on Health Care Services
This consensus study report was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published report as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process.
We thank the following individuals for their review of this report:
SEAN CAVANAUGH, Aledade
LEE A. FLEISHER, University of Pennsylvania, Perelman School of Medicine
SHERRY GLIED, New York University
ZIRUI SONG, Harvard Medical School and Massachusetts General Hospital
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the conclusions or recommendations of this report, nor did they see the final draft before its release. The review of this report was overseen by PATRICK H. DELEON, Uniformed Services University of the Health Sciences, and WALTER R. FRONTERA, University of Puerto Rico School of Medicine. They were responsible for making certain that an independent examination of this
report was carried out in accordance with the standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the authoring committee and the National Academies.
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