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Primary Care First

Learn more about the new pilot program from Medicare and how it affects you.

What is Primary Care First?

Primary Care First is an innovative new program from Medicare aimed at improving care quality and the patient experience, especially for patients with chronic needs or serious illnesses.

It changes how we can treat patients, the information we get access to, and how we get paid, allowing us to enhance our work and create a truly great patient experience.

How Does It Affect Me? What Changes should I Expect?

Most importantly, your Medicare benefits are not changing. This program only affects how we can provide you care, not how you – the patient – pay for it. For questions about Medicare billing, contact Medicare.

You still have the right to use or visit any doctor or hospital that accepts Medicare, at any time. Your provider may continue to recommend that you see particular doctors for your specific health needs, but it is always your choice which doctors you use or hospital you visit.

Information Sharing

The biggest change patients will see is related to the information that gets shared with us.

As part of this program, Medicare will start sharing some of your personal health information with us. This could include:

  • Specialist visits
  • Trips to the Emergency Room
  • Hospital stays
  • Surgeries

This will help provide us with a more complete picture of your health and allow us to better coordinate your care.

If you want to stop Medicare from sharing this information, you should call
1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

Care Flexibility

With PCF, we have more flexibility to treat you, so that we can give you an even more tailored care plan.


Visit the PCF Hub Site

For more information about the program, visit the following links:

Hub Sitehttps://innovation.cms.gov/innovation-models/primary-care-first-model-options

Fact Sheethttps://www.cms.gov/newsroom/fact-sheets/primary-care-first-model-cohort-2-cy-2021-fact-sheet

Getting Started PDFhttps://innovation.cms.gov/media/document/pcf-cohort2-getstartedguide

I have a question / concern. Who should I reach out to?


Contact Medicare

You may also prefer to reach out to Medicare for additional info. They can be reached:

via Phone: 1-800-MEDICARE (1-800-633-4227)

via Live Chat: https://chat.mymedicare.gov/chatclient/chatrequest.aspx

For more ways to contact Medicare, visit Medicare.gov


Contact Us

For any other questions, you can contact our office during normal office hours at 215-249-9020.