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CMS Ending Next Generation Accountable Care Organization Model

Centers for Medicare and Medicaid Services CMS announced that the Next Generation Accountable Care Organization ACO Model NGACO Model or, set to end December 31, 2021, will not be extended after receiving a one-year extension due to COVID-19. ....

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ConcertoCare Named Direct Contracting Entity by Center for Medicare & Medicaid Innovation

/PRNewswire/ ConcertoCare, the leading risk-bearing in-home primary care provider for seniors, was named a Direct Contracting Entity (DCE) by the Center for. ....

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Humana collaborating with providers to offer value-based care for those with original Medicare

Photo by Cavan Images/Getty Images
Health insurer Humana will begin contracting with healthcare providers to offer coordinated care for patients who are beneficiaries of original Medicare.
Humana is known for offering Medicare Advantage plans.
The new program will be facilitated through a value-based model called the Direct Contracting Model, in which the Humana Direct Contracting Entity will operate as Humana Care Solutions. The goal of the model is to improve care quality, health outcomes and the patient experience, while lowering the cost of care for Medicare beneficiaries.
The DCM was established by the Innovation Center at the Centers for Medicare and Medicaid Services to encourage physician organizations, and other types of health organizations, to voluntarily transition from fee-for-service to value-based care and test whether the model will improve quality and reduce costs in original Medicare, while reducing organizational administrative burden. ....

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Providers press Biden Administration for second chance at Direct Contracting model

(Photo by Sam Edwards/Getty Images)
Dozens of provider groups, including America s Physician Groups, American Academy of Home Care Medicine and VillageMD, have signed onto a letter imploring the Biden Administration to open up one more chance for providers to sign up for the Direct Contracting Payment model.
In the letter to Elizabeth Fowler, deputy administrator and director of the Center for Medicare and Medicaid Innovation, providers lamented the fact that while the Centers for Medicare and Medicaid Services promised a second application period to sign up for the model, there in fact will not be one.
Last year, the innovation center created a new type of direct contracting entity that allows Medicaid managed care organizations to participate in the global and professional options of the direct contracting model. Currently, Medicaid MCOs have no incentive to coordinate care for their dually eligible beneficiaries in a way that reduces Medicare fee-for-service costs. ....

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CMS Announces Final Organizations For The Global And Professional Direct Contracting Model, Halts Additional Applications And Future Solicitations - Food, Drugs, Healthcare, Life Sciences

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On Thursday, April 8, 2021, the Center for Medicare and Medicaid
Innovation (the Innovation
Center ) announced its final list of 53 organizations set to
participate in the Global and Professional Direct
Contracting ( GPDC ) Model
(previously named the Direct Contracting Model for Global
and Professional Options). The 53 Direct Contracting Entities
( DCEs ) are participating in the first Performance year
( PY2021 ) of the GPDC Model, which runs from
April 1, 2021 through December 31, 2021. The DCEs will serve
Medicare fee-for-service ( FFS ) beneficiaries in 38
states as well as in the District of Columbia and Puerto Rico. ....

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