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:
A Brewing Crisis: Current Administration’s Healthcare Policies Can Put Consumers at Risk
Millions face uncertainty with recent policies destabilizing Medicare and Medicaid and rolling back protections for consumers. Learn how these changes affect consumers, vulnerable communities, and healthcare outcomes.
CMS Moves to Rein In Medicaid Spending on Programs Not Directly Tied to Healthcare Services
CMS announced it will stop approving Medicaid matching funds for state programs not directly linked to healthcare, aiming to preserve the integrity of the Medicaid partnership.
Driving Better Outcomes – How Value-Based Payments Advance Florida’s Medicaid Managed Care Program
Florida’s SMMC 3.0 program places a strong emphasis on value-based purchasing, rewarding providers for quality and cost-effective care. This shift is central to improving outcomes and ensuring Medicaid recipients receive better, more coordinated services.
Category: Healthcare Payers
Pennsylvania Reduces IDD Emergency Waiting List, Expands Home and Community-Based Services
The Shapiro Administration cut Pennsylvania’s IDD emergency waiting list by 19% and enrolled 3,000+ individuals in services, supported by major budget investments in the 2024-25 fiscal year.
Florida’s SMMC 3.0 Aims to Advance Medicaid Managed Care In The State
Florida’s Statewide Medicaid Managed Care (SMMC) 3.0 program, launched on February 1, 2025, introduces significant enhancements aimed at improving care coordination, integrating behavioral analysis services, and piloting managed care for individuals with intellectual and developmental disabilities.
Illinois Awards $12 Billion in D-SNP Contracts to Four Health Plans
Illinois has awarded $12 billion in contracts to four health plans as it transitions to a fully integrated D-SNP model for dual-eligible beneficiaries beginning in 2026.