FAQs

The Cleveland Clinic Health System Physician Organization d/b/a Cleveland Clinic Community Physician Partnership (CPP) is the entity that was formed by the merger of the Physician Hospital Organizations (PHOs) of the Fairview Health System, Lakewood Hospital, Marymount Hospital, and the Meridia Health System and along with the participation of the Cleveland Clinic acts as the managed care contracting agent and messenger for physician contracting within the Cleveland Clinic health system.

As an integrated delivery system led by physicians, CPP strives to be positioned to respond to the health plans, effectively manage the quality and cost of medical care and provide value to enrollees, member physicians and practitioners, hospitals and health plans.

Benefits Include:

• An enhanced partnership between participating hospitals, the physicians and practitioners with respect to governance, policy development, medical management and credentialing.
• The ability to capitalize on "economies of scale" regarding information systems, medical management and financial management.
• Marketplace responsiveness to health plans and employers, potentially leading to increased access to health plans.
• Creation of value added service programs (e.g., group purchasing, medical malpractice coverage).
• Once registered, CPP members will have access to the secure area of the website

Cleveland Clinic, Cleveland Clinic Children’s Hospital for Rehabilitation, Euclid Hospital, Fairview Hospital, Hillcrest Hospital, Lakewood Hospital, Lutheran Hospital, Marymount Hospital, Medina Hospital and South Pointe Hospital.

Physicians and practitioners elect to participate in no-risk contracts utilizing a Messenger Model. Once a year, a fee survey is submitted to all CPP physicians and practitioners, which identifies a floor for acceptable rates as a percentage of Medicare RBRVS or billed charges. Thereafter, contracts and fee proposals are submitted by health plans/networks to the Messenger. Non-competitive terms are reviewed by the Messenger and the Office of General Counsel, while the fee proposal is reviewed solely by the Messenger, and where appropriate, sent to practitioners who have identified acceptable rates that are higher than those set forth in the fee proposal. The physicians and practitioners electing to participate respond accordingly to the Messenger. CPP cannot guarantee that they will be selected for participation, or continued participation, in every health plan entered into by CPP.

Yes. The participation agreement is non-exclusive and does not prevent you from contracting with health plans through participation in another PHO/IPA/PO, or individually or through your own group practice.

Yes. CPP is organized to be responsive to patient, physician and practitioner needs concerning access to care by insuring that patients have open access to any CPP Primary Care Physician, Specialty Care Physician or Hospital.

For questions regarding contract participation and/or verification of reimbursement, please call 216-986-1CPP (1277).

Yes, if you have medical staff privileges.