Mar 20, 2023
Value-Based Care | August 12, 2019
With a refreshed menu of Medicare payment models, CMS has now directly answered the question that’s been on the collective minds of all ACOs (and vendors) for a couple of years: What will be the way of the future in population health?
CMS overhauled the Medicare Shared Savings Program in December, re-branding it as “Pathways to Success”, and then followed by announcing its most progressive population-based payment models yet: Primary Care First and Direct Contracting. Together, these payment models represent a bold step forward in incentivizing better clinical outcomes and lowered costs. The models show that CMS sees population-based payment as the key “pathway” to “success”. Perhaps more significantly, these new models clearly demonstrate that CMS’ imperative to curb Medicare spending transcends any incumbent political administration.
The introduction of these new payment models should, therefore, be raising near-term questions for all Medicare ACOs:
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This article was originally posted in August 2019 and updated in August 2020.