“Two weeks ago, the Department of Human and Health Services (HHS) unveiled the “Primary Cares Initiative,” a program that aims to “reduce administrative burdens” and enable primary care physicians to earn “performance-based payments” if they deliver care to Medicare patients that meets certain targets and decreases downstream healthcare costs.”
“CMS has posted a request for applications for the first cohort of primary care practices. The program is intended to go into effect January 2020 and continue for five years…”
“Perhaps the greatest difficulty with respect to the second payment model option is that it requires accurately adjusting for variability among providers’ sub-populations of patients. Certain primary care practices have disproportionate numbers of relatively sicker groups of patients, which translates to added risk for these practices…” Read the full article here.
Source: HHS To Implement Pay-For-Performance Models For Primary Care Practices Serving Medicare – By Joshua Cohen, May 10, 2019. Forbes.