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The Centers for Medicare and Medicaid Services has redesigned its Medicare Direct Contracting Model to an Accountable Care Organization model focused on health equity. The ACO Realizing Equity, Access, and Community Health (REACH) Model will replace the Global and Professional Direct Contracting (GPDC) Model at the end of the year. The new ACO REACH Model will require all
Participants in current GPDC Direct Contracting must meet new equity and governance requirements
The program constitutes a "backdoor privatization of Medicare," said one progressive advocate.
The new ACO model will incorporate health equity requirements, make changes to risk adjustment policies and more.
While we can’t pretend that Direct Contracting is going to solve all of our problems, it does provide consideration for Direct Primary Care (DPC) practices, through which physicians can operate outside today’s insurance-based payment model.