New Federal Direct-Contracting VBP Models Met With Concern
While some have responded well to new federal direct-contracting value-based payment models with excitement, others believe there are serious flaws in them.
January 6, 2021 – A Washington D.C.-based advocacy organization, the National Association of Accountable Care Organizations (NAACOS), had initial enthusiasm for the models die down as they sorted through the details and realized that legacy ACOs are hard-pressed to participate and find avenues for success.
Namely, the NAACOS notes the absence of emphasis on the actual providers under the new professional and global direct-contracting options. In addition, they find flaws in the weighting system that CMMI and CMS plan to use for historical expenses. Currently, these models favor organizations that are new to value-based care.
Despite concerns over direct-contracting, the NAACOS is excited to see more ACOs participating in in-home care.
Click here to read the full report from Home Health Care News.
The VBP Blog is a comprehensive resource for all things related to value-based payments. We provide up to date news, informative webinars, and relevant blogs in the VBP sphere to help your organization find success.
Get even more VBP insights on LinkedIn & Twitter
More Trending Topics:

CMS Issues New Medicaid Work Requirement Rules, Signaling Major Changes for States and Managed Care Plans
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.

Florida’s MLTSS Model: How the State’s Long-Term Care Program Works for Consumers
Florida’s managed long-term care model offers structure and scale, but the consumer experience depends on how well people can move through screening, eligibility, and enrollment to actually access services.

Ohio Suspends Payments to 49 Home Health Providers in Medicaid Fraud Investigation
Ohio has suspended Medicaid payments to 49 home health providers after identifying suspicious billing patterns, marking a major step in the state’s effort to combat fraud and protect taxpayer dollars.

Study Finds Many Medicaid Managed Care Sanctions Remain Unresolved Across States
A new study finds that one in four Medicaid managed care sanctions remain unresolved, raising questions about oversight and accountability in state Medicaid programs.

How States Measure MLTSS Performance: Quality, Oversight, and Accountability
MLTSS is expected to do more than simply move long-term services and supports (LTSS) into managed care. States also use these models to improve coordination, strengthen accountability, and support care in home and community-based settings.

Federal Home Health VBP Model Associated With Reduced Care Disparities For Medicare Beneficiaries With Dementia
A new study found the Medicare Home Health Value-Based Purchasing program was associated with reduced disparities in home health care utilization for beneficiaries living with dementia
