Healthcare Finance News November 2, 2020
Direct contracting is the next CMMI model and is based on Next Generation, Medicare Shared Savings and Medicare Advantage plans.
The Center for Medicare and Medicaid Innovation has announced that 51 provider and accountable care organizations are participating in direct contracting, the new risk model that has evolved from Next Generation.
The implementation period, which began in October and runs through March 31, 2021, provides time for the direct contracting entities to prepare for the first performance year, which starts on April 1, 2021. Organizations need to sign up beneficiaries, build a history of claims data and establish care coordination practices before financial accountability starts in April.
The 51 direct contracting entities serve beneficiaries in 39 states as well as...
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