Hospice News October 12, 2022
Hospices and Accountable Care Organizations have the ability to customize payment contracts within the Realizing Equity, Access and Community Health (ACO REACH) program.
Effective Jan. 1, 2023, the U.S. Centers for Medicare & Medicaid Services (CMS) is replacing the Global and Professional Direct Contracting (GPDC) model with ACO REACH. The agency says the new program reflects its redesigned strategy for payment system demonstrations, with advancing health equity as a key tenet.
Some features of GPDC will continue within the new program, including flexibility on payment arrangements between ACOs and downstream providers.
“We have full financial responsibility for our patients, including all spend that happens within Medicare A and Medicare B. Within that, we have the ability to pay claims for...
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