Biden Administration Pauses Key Value-Based Reimbursement Models

The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.

Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, and the Kidney Care Choices Model—three models approved by the Trump administration.

The update on the Geographic Direct Contracting Model and the Primary Care First Model webpages stated that the administration is reviewing the models and will share additional information when it becomes available. For the Primary Care First Model, that also means the Seriously Ill Population model option will not launch on April 1, 2021, as previously announced.

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