Direct Contracting Cms Rfa

If you are a healthcare provider looking for ways to participate in direct contracting with the Centers for Medicare & Medicaid Services (CMS), then you are in luck. CMS has released a Request for Applications (RFA) for the Direct Contracting Model.

The Direct Contracting Model is a new payment model that aims to reduce administrative burdens and promote value-based care. It is part of CMS’s larger strategy to move away from fee-for-service payments and towards alternative payment models. With Direct Contracting, CMS aims to incentivize healthcare providers to deliver high-quality care and outcomes at a lower cost.

The Direct Contracting Model is open to a variety of healthcare providers, including accountable care organizations (ACOs), provider groups, health plans, and even individual practices. The RFA outlines three different participation options: Standard Direct Contracting, New Entrant Direct Contracting, and Geographic Direct Contracting.

Standard Direct Contracting is the most comprehensive option, and it is open to healthcare providers who have experience with value-based care arrangements. New Entrant Direct Contracting is designed for healthcare providers who are new to value-based care arrangements, while Geographic Direct Contracting focuses on population health management in specific regions.

According to the RFA, CMS expects to select approximately 15 participants for the first performance year (2021) of the Direct Contracting Model. Participants will be chosen through a competitive application process that includes a review of the provider’s financial and quality metrics.

If you are interested in participating in the Direct Contracting Model, then it is important to carefully review the RFA and submit a strong application. Keep in mind that the Direct Contracting Model is still in its early stages, and there may be challenges and uncertainties as the program evolves.

As always, it is important to stay up-to-date with the latest healthcare news and regulations. By staying informed, you can ensure that your healthcare organization is well-positioned to succeed in a rapidly changing industry.