Managed Healthcare Executive April 8, 2021
Most are in the riskier global risk track with 100% savings and losses.
The Center for Medicare and Medicaid Innovation (CMMI) announced the selection of 53 Direct Contracting Entities (DCEs) today for participation in its two-track direct contracting model that started on a new performance year in April 1.
Thirty-nine of the selected DCEs have picked the “global risk sharing” option and 14, the less risky “professional” track. Organizations in the global track can collect 100% of the difference between the organization’s spending and certain financial benchmarks (“savings”). They are also at risk, though, for 100% of “losses” — spending over the benchmark.
Those in the professional track are taking on less financial risk and are eligible for 50% of...