The Centers for Medicare & Medicaid Services’ Innovation Center today announced the Primary Cares Initiative, which will provide primary care practices and other providers with five new payment model options under two paths – Primary Care First and Direct Contracting.
 
The PCF model options are focused on individual primary care practice sites, while the DC model options aim to engage a wider variety of organizations that have experience taking on financial risk and serving larger patient populations, such as accountable care organizations, Medicare Advantage plans and Medicaid managed care organizations. 
 
The PCF options will be tested for five years beginning in January and incentivize providers to reduce hospital use and total cost of care through performance-based payment adjustments. The DC model options focus on care for patients with complex, chronic needs and serious illness and provide prospective model participants a range of financial risk arrangements, CMS said. The agency also released a request for information seeking comment on one of the DC models.
 
All of the payment model options are expected to qualify in 2021 as Advanced Alternative Payment Models under Medicare’s Quality Payment Program for clinicians.
 
“America’s hospitals and health systems are committed to value-based care, and we appreciate CMS’s continued efforts to create additional voluntary payment models for providers,” said Ashley Thompson, AHA senior vice president of public policy analysis and development. “We look forward to learning more about these new models and how they can support our collective efforts to improve the health and well-being of our patients and communities.”  

Related News Articles

Headline
As the Medicare Payment Advisory Commission considers Medicare payment adequacy, AHA today encouraged the panel to recommend adding a one-time retrospective…
Headline
The AHA today released a detailed summary of the Centers for Medicare & Medicaid Services’ final rule for the calendar year 2023 home health prospective…
Headline
AHA Executive Vice President Michelle Hood previews the 2023 Rural Health Care Leadership Conference, Feb. 19-22 in San Antonio, designed to help rural health…
Headline
In recognition of National Rural Health Day Nov. 17, this last in a two-part series on rural behavioral health shares how a critical access hospital in Newland…
Headline
To honor today’s annual celebration of rural hospitals and health systems, AHA’s John Supplitt, senior director of rural health services, talks with Roxie…
Headline
In recognition of National Rural Health Day on Nov. 17, 2022, AHA today joined a Twitter chat on rural health literacy hosted by the Rural Health Information…