Department of Health and Human Services' Centers for Medicare and Medicaid Services issued the following fact sheet:. CY 2023 Medicare Advantage and Part D Final Rule. CMS is issuing a final rule that advances CMS' strategic vision of expanding access to affordable health care and improving health equity in Medicare Advantage and Part D through lower.
Continuing our series analyzing the recently proposed Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs rules (Proposed Rule).
Continuing our series analyzing the recently proposed Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs rules.
On December 3, 2020, Centers for Medicare & Medicaid Services (“
CMS”) announced key details concerning a new value-based reimbursement and patient care model – the Geographic Direct Contracting Model (the “
Model” or “
Geo”). Geo is a geographic-based approach to value-based Medicare reimbursement and patient care that focuses on improving health outcomes and decreasing the cost of care across an entire geographic region. Direct contracting entities (“
DCEs”) participating in the Model will be taking responsibility for the total cost of care of Medicare fee-for-service beneficiaries in their region. Accountable care organizations (ACOs), health systems, health care provider groups, health plans, and other potential applicants will be permitted to participate in the Model as DCEs. The Model intends to encourage care coordination across a physical, geographic area and to deliver care that considers a region’s particular local needs.[1]