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
The Government Accountability Office today named three new members to the Medicare Payment Advisory Commission through April 2023. They are: Wayne…
Headline
The Centers for Medicare & Medicaid Services yesterday released early stakeholder insights from its Accountable Health Communities Model. The model tests…
Headline
The Centers for Medicare & Medicaid Services May 7 issued a final rule that implements the standards governing health insurance issuers and the Health…
Headline
A federal district court in Washington, D.C., today heard oral argument in the AHA’s legal challenge to the Centers for Medicare & Medicaid Services’ final…
Headline
The Health Resources and Services Administration this week hosted webinars for health care providers on the agency’s COVID-19 Uninsured Program Portal. During…
Headline
More than half of U.S. adults aged 70 and older have experienced a disruption in their medical care during the first month of social distancing for COVID-19,…