Medicare Direct Contracting program is a unique opportunity for existing Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs), NextGen ACOs, organizations that have experience serving Medicare fee-for-service (FFS) patients, and even organizations with limited Medicare FFS experience that wish to grow their market share.
The primary goals of Medicare Direct Contracting include:
- Transform to risk-sharing arrangements in Medicare FFS
- Empower beneficiaries through provider choice
- Reduce health care provider (HCP) administrative burden
Provider groups have the option to choose the type of Direct Contracting Entity (DCE) they wish to join based on their experience managing Medicare FFS populations, their existing Medicare FFS patient population, and the level of risk they are willing to assume. Entities can choose among the following DCEs:…