CMS Expanding Population-Based Provider Reimbursement Models In Medicare & Medicaid

On April 23, 2018, the Centers for Medicare & Medicaid Services (CMS) announced it is expanding population-based provider reimbursement models through the development of a direct provider organization contracting (DPC) model for Medicare fee-for-service, Medicare Advantage, and Medicaid beneficiaries. Under DPC, similar to accountable care organizations (ACOs), physicians, non-physician practitioners, and physician group practices would contract directly with CMS and be responsible for the cost of care and outcomes of a defined population. To distinguish the model from other primary care models, CMS states there will be an emphasis on consumer choice of primary care practice . . .