June 01, 2018
McDermottPlus Vice President Mara McDermott joins the Healthcare Policy Podcast for a conversation on the Center for Medicare and Medicaid Services’ Direct Provider Contracting.
Listen to the podcast here.
This past week public comments were due in response to a CMS Request for Proposal (RFI) that would potentially lead to the agency fielding a Medicare a direct primary care (DPC) demonstration. The demo would pay Medicare physicians directly a predetermined fixed per-beneficiary-per-month fee to provide primary care services to participating beneficiaries. The demo would try to replicate private, commercial DPC contracts physicians have with individuals or through self-insured employers.
During this 27 minute conversation Ms. McDermott discusses, in part, both the potential positives and pitfalls should CMS field a DPC demonstration, whether the model would qualify as an Alternative Payment Model (APM) and whether fielding a DPC model would move the Medicare program closer to premium support.