Questions remain on direct provider contracting model
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?