Health care counsel Dave Ault spoke to Modern Healthcare about the impact of the Center for Medicare and Medicaid Innovation’s (CMMI) pause on applications for the Global and Professional Direct Contracting Model.
In “CMMI’s pause on direct contracting model leaves industry in limbo,” the publication described how the uncertainty has created consternation among existing accountable-care organizations (ACOs) and new direct-contracting entities backed by managed-care organizations or venture capital ﬁrms.
Ault said, “If you’re trying to drive value in health care, and you’re forcing organizations to move backward in risk, that’s just bad policy. They need to have a full-risk option in the Shared Savings Program.”
New CMMI Director Liz Fowler’s quick decision to pull the plug on applications also gave ACOs as much time as possible to make alternative plans for next year, Ault added.