Direct Contracting Model

Now Accepting New Provider Partners PY 22

CHS is vetting new provider partnerships for the Global and Professional Direct Contracting (GPDC) Model participation in PY2022. By extending its Direct Contracting Entity (DCE) to new providers, CHS removes the administrative and financial burden from its partner providers. With no upfront investment or monthly fees, or downside risk for providers, the DCE becomes accessible for many more providers. To speak with a CHS representative about this opportunity, call 877-808-5643. A sample contract is available for review here.

What is a DCE?

The Global and Professional Direct Contracting (GPDC) Model was created by the Centers for Medicare & Medicaid Services (CMS) to engage a wide range of practices and organizations in risk-sharing arrangements. The Model aims to drive value, high-quality healthcare for Medicare beneficiaries. Based on the Medicare Shared Savings Program and Next Generation ACO Model, the Model provides Direct Contracting Entities (DCEs) with an opportunity to focus on the primary care relationship, leverage benefit enhancements to create innovative healthcare interventions and increase quality of care. Beneficiary choice, engagement, and experience are a focus of the model. DCEs will be rewarded for reducing healthcare costs and improving quality of care and health outcomes for Medicare beneficiaries.
  • The first Performance Year (PY2021) of the Model started on April 1, 2021, and there are 53 DCEs participating.
  • CHS and Complete Health operate Complete Health Accountable Care, a DCE that started in April 2021.
  • The Center for Medicare and Medicaid Innovation announced that it will not accept new applicants for the second cohort of the Model which begins on Jan. 1, 2022. Only organizations that applied in the previous application cycles and deferred participation to PY2022 will enter the Model. 
  • CHS formed a DCE available to give providers an opportunity to participate after the application window closed.
  • Multiple CHS-operated DCEs have been approved and deferred participation to enter the Model in 2022.
  • Two CHS-managed DCEs will participate in the Implementation Period (IP) starting on August 1, 2021.
CHS partner providers have successfully participated in the Medicare Shared Savings Program and Next Generation ACO Model and are well positioned to enter the GPDC Model. CHS is collaborating with partners to prepare applications for 2021 with an expected 2022 start.

     

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