In December 2019, CMS released the long-awaited details on its Direct Contracting program, the most advanced risk-sharing arrangement to-date. Below is an overview of Direct Contracting, the program's rationale, challenges, and what it means for the market. 1. What is Direct Contracting? CMS’ most advanced risk-sharing program yet. ACOs [...]
After months of waiting, the Center for Medicare & Medicaid Innovation (CMMI) released details on the Direct Contracting Payment model options on Monday via a Request for Application. The 100-page document tells us many details about the model but leaves several key questions unanswered. Below, we share a summary and first reactions. We’ll be [...]
Late last year, CMS overhauled the Medicare Shared Savings Program, re-branding it as “Pathways to Success” and re-designed with a pre-determined path toward downside risk for Medicare ACOs. This spring, CMS followed by unveiling five new payment models with the most advanced opportunities for risk-sharing to date. After a long [...]