“The Centers for Medicare & Medicaid Services has announced it is exploring a direct-provider contracting model, the first payment reform initiative to result from the agency innovation center’s broad request for ideas on improving patient-centered care.”
“Loosely outlined, the program would directly pay primary care physicians and multi-specialty group practices that volunteer to test the approach among Medicare fee-for-service, Medicare Advantage and Medicaid beneficiaries. It would replace the existing fee schedule with fixed, lump-sum payments for specified types of care…”
“CMS also proposed changes Tuesday in a prospective payment system for hospitals and long-term care hospitals that includes a revamped focus on interoperability, pricing transparency and penalties if patients can’t…” Read the full article here.
Source: CMS developing direct-pay model to test on seniors, others – By Kimberly Marselas, April 25, 2018. McKnight’s Long-Term Care News.
