6 CMS Direct Contracting Questions Answered

Last Monday, CMS released the long-awaited details on its Direct Contracting program, its most advanced risk-sharing arrangement to-date. Below is an overview of Direct Contracting, it’s rationale, challenges, and what it means for the market. 1. What is Direct Contracting? CMS’ most advanced risk-sharing program yet – ACOs take risk [...]

2019-12-15T21:59:17-08:00December 2nd, 2019|

Direct Contracting: CMS takes its next bold step in value-based care, but the clock is ticking

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 [...]

2019-12-15T22:03:26-08:00November 27th, 2019|

Webinar Recap: Three Ways to Build a Better Provider Network

This month, payer solution experts from Clarify hosted a webinar to discuss the challenges of and best practices for creating and managing high-performing provider networks. Read this recap and watch the recording to learn about the three capabilities that are transforming network design in the same way predictive analytics transformed [...]

2019-12-15T22:07:27-08:00November 25th, 2019|

Shifting from “sick” care to healthcare

What will it take to shift the American health system from “sick care” to health care? Health services today primarily focus on disease treatment in the acute care setting, rather than on prevention.  Primary care remains strapped with too few physicians and too little time. In fact, 24% of Americans [...]

2020-01-13T12:47:09-08:00October 2nd, 2019|