HealthLeaders Media May 26, 2022
Participants, supporters, and opponents weigh in on the role of Medicare Advantage subsidiaries as program design evolves.
KEY TAKEAWAYS
– CMS’ planned launch of ACO REACH continues to highlight the direct contracting elements that remain in the model.
– These elements are a boon to the tech-driven, Medicare Advantage subsidiaries whose growth strategies include fee-for-service beneficiary management.
– Some of the most prominent names in healthcare reform have starkly different views on whether direct contracting will help or hurt.
Direct contracting (DC) is an interesting name for a CMS model that permits private health plan subsidiaries to be part of Medicare fee-for-service (FFS) care reimbursement.
DC normally refers to the disintermediating of payers. Common examples include employers who contract with...
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