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Providers, payers see direct contracting's capitation as an important move to value-based care

Photo: Cecilie Arcurs/Getty Images
Over the past several years, the big trend in healthcare has been to inch away from fee-for-servicereimbursement and toward value-based care, in which a provider s reimbursement is tied more to clinical quality than to volume. The industry, policymakers and the federal government have attempted this shift through a number of legal and regulatory means, and one policy that has proven popular in this regard, among both providers and payers, is direct contracting.
In basic terms, direct contracting is a population-based model that allows for the use of capitation. This is what sets it apart: Aside from Next Gen and Pioneer, virtually all of the other compensation-based models from the Centers for Medicare and Medicaid Services are billed as fee-for-service, with a reconciliation 18 months later. ....

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Collaborative Health Systems Welcomes New Providers for Direct Contracting in 2022

Collaborative Health Systems Welcomes New Providers for Direct Contracting in 2022
Providers have the opportunity to participate in Direct Contracting model after application window closes
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TAMPA, Fla., April 19, 2021 /PRNewswire/ Collaborative Health Systems (CHS), a management services organization, announced today the formation of a new Direct Contracting Entity (DCE) available to providers unable to apply to the Global and Professional Direct Contracting (GPDC) Model. The announcement follows a recent development from the Center for Medicare and Medicaid Innovation (CMMI) that it will not accept new applicants for the Model.
The GPDC Model is a set of two voluntary risk-sharing options aimed at reducing expenditures and preserving or enhancing quality of care for beneficiaries in Medicare fee-for-service (FFS). By extending its DCE to new providers, CHS removes the administrative and financial b ....

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ACO | Accountable Care Organizations News

- CareMount Medical’s next-generation ACOs have saved more than $778,582 in shared savings in 2018. CareMount ACO was one of 38 Next Generation ACOs nationally to achieve earned savings for 2018 Performance Year.- In 2019, CMS awarded CareMount Health Solutions ACO, LLC a perfect score of 61 out of 61 points on its Initial Readiness Review (IRR). CMS conducts IRRs for all ACOs entering the Next Generation ACO Model.Chappaqua, NY-based CareMount Medical announces its next-generation ACOs have ....

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Knoxville Biz Ticker: Covenant Health to provide COVID-19 testing for KSO as 2021 season resumes

Knoxville Biz Ticker: Local entrepreneurs earn $10,500 in Knoxville Area Urban League business pitch contest
The Knoxville News-Sentinel
1/29/2021
Knoxville News Sentinel
Local entrepreneurs earn $10,500 in Knoxville Area Urban League business pitch contest
Five winners of the Knoxville Area Urban League’s business pitch contest have received checks totaling $10,500 for enterprises ranging from health care to art classes.
Mark Isom, the founder and president of Premiere Building Maintenance Corporation, presented the entrepreneurs with checks during Impact Week, a virtual fundraiser held in late 2020 for the Knoxville Area Urban League’s community initiatives, including the 10-week CO.STARTERS training program for entrepreneurs.
Isom provides funding for the program, along with Randy Boyd, founder and executive chairman of Radio Systems Corporation, and his wife, Jenny Boyd. ....

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Knoxville Biz Ticker: Integrity Laboratories launches novel quantification tool for Covid-19 providers

Knoxville Biz Ticker: Local entrepreneurs earn $10,500 in Knoxville Area Urban League business pitch contest
The Knoxville News-Sentinel
1/29/2021
Knoxville News Sentinel
Local entrepreneurs earn $10,500 in Knoxville Area Urban League business pitch contest
Five winners of the Knoxville Area Urban League’s business pitch contest have received checks totaling $10,500 for enterprises ranging from health care to art classes.
Mark Isom, the founder and president of Premiere Building Maintenance Corporation, presented the entrepreneurs with checks during Impact Week, a virtual fundraiser held in late 2020 for the Knoxville Area Urban League’s community initiatives, including the 10-week CO.STARTERS training program for entrepreneurs.
Isom provides funding for the program, along with Randy Boyd, founder and executive chairman of Radio Systems Corporation, and his wife, Jenny Boyd. ....

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