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CMS Primary Cares to Include New Track for High-Cost Patients

Posted on Monday, October 28, 2019 12:22 PM

CMS is preparing to implement a new payment model within its Primary Care Initiative to address the needs of patients who require the highest cost of healthcare.  They have not released any details yet, its expected to come soon. 

“The [Center for Medicare & Medicaid Innovation] are talking about having a complex direct contracting track, and it would identify high-cost patients which would be like [patients who are eligible for CMS’ Independence at Home demonstration project] that would have a primary care capitation and greater potential shared savings than there is in the Primary Care First program,” Tom Cornwell, M.D., executive officer for the Home Centered Care Institute, said in a session at the Coalition to Transform Advanced Care (C-TAC) National Summit in Minneapolis.

CMS has designed three voluntary payment models to reduce cost without decreasing the quality of care provided.  The three tracks are: Professional, Global and Geographic.

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