04 May New Primary Care Payment Model Under Discussion

The Centers for Medicare & Medicaid Services (CMS) announced this week that they’re working on a new Direct Primary Care payment model with price transparency, predictability, and affordability with Medicare members in mind. Beyond ease of use for members, the intention is also to reduce administrative burden, encouraging more physician practices to remain independent. This is an important endeavor considering the growing shortage of primary care physicians, and decreasing percentage of physicians who own their own medical practice, as evidenced in a study conducted by the American Medical Association (AMA).

CMS is in the information gathering stage, recently putting out a request for information related to “provider and state participation, payment, general model design, and program integrity and beneficiary protections,” as reported by HFMA.

You can read more details HERE, as well as further price transparency news including the proposed rule for hospitals to publicize their chargemaster, in HFMA’s article, Azar Plans ‘Fundamental Rethinking’ of Provider Pay.

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