ACP Response to CMS Innovation Center RFI on Direct Provider Contracting Models

As a follow-up to its request for information (RFI) on its \"new direction,\" CMMI issued another RFI requesting stakeholder feedback on direct provider contracting (DPC) models. In its response, the College emphasized the need for flexibility in design and was optimistic that a DPC-type model could improve care quality and contain costs while reducing administrative burden, but expressed concerns about possible adverse consequences, including attrition from existing models and access to care issues, particularly for vulnerable patient populations. The college recommended CMS closely study and monitor these areas and improve benchmarking, risk adjustment, and quality measurement methodologies with input from stakeholders before moving forward.

Brooker

RFI; direct provider contracting; DPC; APM; alternative payment model; administrative burden; quality reporting; risk; social determinants of health; CMMI; innovation center; benchmark; PBPM; voluntary enrollment; performance bonus

Fri, 05/25/2018 - 1:50 PM EDT

Fri, 05/25/2018 - 2:47 PM EDT

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letter_to_cmmi_re_rfi_on_dpc_models_2018.pdf

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2018