Ques­tions re­main on di­rect provider con­tract­ing model

Modern Healthcare - - Medicare -

1. How will the CMS get both prac­tices and pa­tients to choose to par­tic­i­pate in this model?

2. If providers are made

re­spon­si­ble for keep­ing costs down for ben­e­fi­cia­ries, will there be lim­its on when pa­tients can leave a prac­tice op­er­at­ing un­der the model? Should a provider be able to refuse to let a ben­e­fi­ciary leave?

3. Will par­tic­i­pat­ing prac­tices

be able to charge concierge fees in ex­change for get­ting en­hanced ser­vices?

4. How much will the CMS pay

in per-ben­e­fi­ciary per-month fees, and will it be enough to at­tract prac­tices of vary­ing sizes?

5. How will the CMS en­sure

that a par­tic­i­pat­ing prac­tice only ac­cepts healthy pa­tients un­der an ef­fort to meet sav­ings goals?

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.