Lexology June 12, 2019
The Centers for Medicare & Medicaid Services (“CMS”) recently introduced three new population-based payment (“PBP”) risk-sharing Direct Contracting (“DC”) model options that intend to decrease expenditures and increase quality for beneficiaries in Medicare fee-for-service (“FFS”): Professional PBP, Global PBP, and Geographic PBP. As the Geographic PBP is still being designed, this Client Alert focuses only on the Professional PBP and Global PBP Models.
The model options are voluntary, and they build upon initiatives involving Medicare Shared Savings Program (“MSSP”) accountable care organizations (“ACOs”), such as the Next Generation ACO (“NGACO”) Model.
These new payment models with preliminary beneficiary alignment will begin in January 2020, with performance periods beginning in January 2021 that will last five years. Entities that are interested...
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