Modern Healthcare April 26, 2019
The CMS will only use mandatory payment models when the agency feels it can’t get enough participation or have adverse selection for voluntary models, a Center for Medicare and Medicaid Innovation official said on Friday.
The remarks from deputy director Amy Bossano during the National Association of ACOs spring conference in Baltimore comes a day after CMS Administrator Seema Verma hinted that some upcoming models will be mandatory.
However, Verma did not say which payment models nor how many would be mandatory.
Bossano said during a CMS town hall that the agency doesn’t have a “formula per se” to determine if a model would be mandatory.
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