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CMS overhauls Direct Contracting model to include new requirements on governance, health equity in 2023

CMS overhauls Direct Contracting model to include new requirements on governance, health equity in 2023

February 24, 2022Robert KingFierce HealthcareHealth Equity & Social Determinants of Health (SDOH),Direct Contracting (DCEs)

The Biden administration is redesigning the controversial Direct Contracting Model to add new requirements to tackle health equity and ease progressive lawmakers’ concerns over the role of private equity.

The Centers for Medicare & Medicaid Services (CMS) announced Thursday that the professional and global Direct Contracting Model will transition in 2023 to the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model. In addition, the geographic Direct Contracting Model on pause since March 2021 will be eliminated immediately.

“Under the ACO REACH Model, health care providers can receive more predictable revenue and use those dollars more flexibly to meet their patients’ needs—and to be more resilient in the face of health challenges like the current public health pandemic,” said Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler in a statement.

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The Centers for Medicare and Medicaid Services announced Thursday that the professional and global Direct Contracting model will transition in 2023 to the Accountable Care Organization Realizing Equity, Access and Community Health (REACH) Model. In addition, the geographic Direct Contracting model on pause since March 2021 will be eliminated immediately.

“Under the ACO REACH Model, health care providers can receive more predictable revenue and use those dollars more flexibly to meet their patients’ needs — and to be more resilient in the face of health challenges like the current public health pandemic,” said Center for Medicare and Medicaid Innovation Director Liz Fowler in a statement.

Full Article

: ACO, ACOs, direct contracting

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