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Doctors propose new Medicare direct-contracting model

Doctors propose new Medicare direct-contracting model

May 25, 2018Virgil DicksonNo CommentsModern Healthcare

A group of doctors on Thursday said they have the path forward to help the CMS launch a direct provider contracting (DPC) model.

America’s Physician Groups, an association of medical groups, submitted a so-called “third option” proposal, where a provider network would receive Medicare funds up front to manage their patients’ care.

The suggestion came as a response to the CMS’ request for information on how to launch a DPC model. Comments were due Friday. Under the model, the CMS would set capitation rates using methods and benchmarks similar to those used to establish rates for Medicare Advantage plans. The payments would be actuarially sound, risk adjusted and updated annually, the groups said.

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: direct provider contracting, DPC, Medicare

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