In the article “CMMI’s geographic direct contracting model needs an overhaul, experts say,” Dave Ault, Faegre Drinker counsel and former Center for Medicare & Medicaid Innovation oﬃcial, spoke to Modern Healthcare about participant concerns with the CMMI’s Geographic Direct Contracting model, or Geo.
The publication described how consumer advocates, accountable care organizations (ACOs) and some experts think that the CMMI should delay its Geo model until it resolves several issues that could create confusion among Medicare beneﬁciaries and operational and ﬁnancial challenges for providers.
The Geo model is supposed to test whether a regional approach to care delivery and value-based payment can improve health and lower costs for fee-for-service Medicare beneﬁciaries throughout an entire geographic region, explained Modern Healthcare. But experts worry that the model is too complicated to put into practice because it would add another layer of payment and delivery reform on top of ongoing experiments such as ACOs.
Ault said that participants in Direct Contracting’s Global and Professional tracks would have to compete against Geo entities immediately upon entering the program, which could undermine their success.