Podcast: Analyzing the New ACO REACH Model, with Rick Goddard and Joe Satorius

March 15, 2022acoCMMI, CMS, DCE partnerships, DCEs, GPDC, NAACOS

On February 24th, the Centers for Medicare & Medicaid Services (CMS) revealed the highly-anticipated fate of the Innovation Center’s (CMMI) Direct Contracting model options, announcing a redesign of the Global Professional Direct Contracting (GPDC) Model and the permanent cancellation of the Geographic Direct Contracting (“Geo”) Model. The revamped and rebranded GPDC model—now called Accountable Care…

CMS changing direct contracting to an ACO gets mixed reaction

February 25, 2022acoDCEs

The Centers for Medicare and Medicaid Services has redesigned its Medicare Direct Contracting Model to an Accountable Care Organization model focused on health equity. The ACO Realizing Equity, Access, and Community Health (REACH) Model will replace the Global and Professional Direct Contracting (GPDC) Model at the end of the year. The new ACO REACH Model…

CMS redesigns Direct Contracting into an ACO model

February 24, 2022acoCMMI, CMS, DCEs, GPDC

The Global and Professional Direct Contracting Model will be replaced with a more equity-focused and provider-led Accountable Care Organization Model in 2023, the Centers for Medicare and Medicaid Services said Thursday. The agency also officially will end the Geographic Direct Contracting model, which it halted last March. The redesigned model, called the ACO Realizing Equity, Access, and Community…

Podcast: NAACOS Health Policy Update and the Rumored Cancellation of the GPDC Model, with Allison Brennan

February 17, 2022acoCMMI, CMS, DCE partnerships, DCEs, GPDC, NAACOS

Allison Brennan is the Senior Vice President of Government Affairs for the National Association of ACOs (NAACOS) in Washington, D.C. where she helps develop and advocate for policies to benefit ACOs. In this special bonus episode, she provides an extensive update on health policy and directly addresses the critics of the Global and Professional Direct…

NAACOS, APG Urge HHS to Adjust Direct Contracting Model, Not Cancel

February 16, 2022acoAMA, APMs, CMMI, congress, DCEs, direct contracting, FFS, HHS, NAACOS

More than 200 healthcare organizations, including America’s Physician Groups (APG) and the National Association of ACOs (NAACOS), have urged the Department of Health and Human Services (HHS) to make adjustments to the Global and Professional Direct Contracting Model instead of canceling the program. In a letter to HHS Secretary Xavier Becerra, the groups stressed that shutting down the Direct…

Healthcare Groups Plead with HHS’ Becerra to Retain Direct Contracting Model

February 15, 2022acoBecerra, DCEs, direct contracting, HHS

A large group of 222 healthcare organizations, both national healthcare associations and provider organizations, including accountable care organizations (ACOs), sent a letter on Monday, February 14, to Health and Human Services Secretary Xavier Becerra, urging him not to cancel the Global and Professional Direct Contracting (GPDC) model, but instead make adjustments to it. Among the…

Over 50 Lawmakers Urge Administration to End Direct Contracting

January 17, 2022acoAMA, APMs, CMMI, congress, DCEs, direct contracting, FFS, HHS, NAACOS

The lawmakers claim direct contracting is a Trump-era privatization tactic that has removed millions of seniors from Traditional Medicare without their knowledge or consent. More than 50 lawmakers led by US Representative Pramila Jayapa urged the Biden administration to discontinue the Medicare Direct Contracting (DC) program and transition Medicare beneficiaries into the Traditional Medicare model. In a letter written to HHS…

Benchmark Report Sneak Peek: 2022 Post-Acute ACO Partnerships in Focus

November 12, 2021Garrett SchmittNo Commentsaccountable care, ACO partnerships, ACOs, COVID-19, DCE partnerships, DCEs, PACs, post-acute, post-acute care, post-acute care organizations, Survey

Several weeks ago, we launched a survey to determine the post-acute growth strategies that owners, operators, and managers would be focused on in the new year. Given the impacts COVID-19 has had on the post-acute industry, it was clear to us here at Trella that traditional, linear growth wasn’t going to be the focus for every organization or line of…

Direct Contracting Opens a New Door for SNFs in Value-Based Care

July 5, 2021Garrett SchmittNo CommentsCMS, DCEs, direct contracting, SNFs, value-based care, vbc

Institutional special needs plans (I-SNPs) are seen by some to be the only path forward for skilled nursing facilities (SNFs) to enter value-based care, however, Brian Fuller, CEO of care coordination company Integrated Care Solutions (ICS), thinks SNFs should get more involved with direct contracting entities (DCEs). A lack of understanding may be preventing them…

Pause to Alternative Payment Models Gives Some Providers a ‘Golden Ticket,’ Leaves Others Behind

April 20, 2021Garrett SchmittNo Commentsalternative payment models, Biden, CMMI, CMS, DCEs, Global and Professional Direct Contracting Model, Medicare

The Global and Professional Direct Contracting Model — a Center for Medicare & Medicaid Innovation (CMMI) creation — has been put on pause. The holdup is just another example of CMMI pumping the brakes on an alternative payment model in the days since the Biden administration took over the executive branch. Broadly, the Global and…

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