Bradley attorney Scott Lenz was quoted in Modern Healthcare on a proposed model for direct provider contracting where a provider network would receive Medicare funds up front to manager patient care. Under the proposal, the CMS would set capitation rates using methods and benchmarks similar to those used to establish rates for Medicare Advantage plans. The payments would be actuarially sound, risk adjusted and updated annually.
The proposal is a positive step forward for doctors that are already working under other value-based arrangements, according to Lenz.
"By participating in the innovation center's accountable care organization and bundled payment initiatives, providers have spent the last several years developing the care delivery infrastructure to allow them to participate in programs like this," Lenz said.
The complete article, “Doctors Propose New Medicare Direct-Contracting Model,” appeared in Modern Healthcare on May 25, 2018.