The agency announced five new payment models focused on primary care. Here’s what you need to know.
CMS has announced a new set of payment models focused on primary care. The Primary Cares Initiative is intended to deliver better value for patients, reduce administrative burden for physicians, and empower them to spend more time caring for patients.
The initiative will provide primary care practices and other providers with five new payment models under two paths: Primary Care First and Direct Contracting. Here’s what you need to know.
Primary Care First
Primary Care First – High-Need Populations
Both Primary Care First models will be tested for five years, beginning in January 2020.
The Direct Contracting models aim to engage organizations that have experience taking on financial risk and serving larger patient populations, such as Accountable Care Organizations, Medicare Advantage plans, and Medicaid managed care organizations.
Direct Contracting - Global
Direct Contracting – Professional
Direct Contracting – Geographic
CMS says driving accountability to a local level empowers communities to devise strategies best designed to meet their healthcare needs.
CMS expects these five new payment models to: