FIERCE HC | Physician groups remain split over CMS proposal to allow direct Medicare billing

APG, a professional association for accountable physician groups, promoted what it called its “Third Option” and argued in its letter that the DPC model will advance the value movement.

The AMGA, however, said in its letter (PDF) that CMS should strengthen the existing Medicare Shared Savings Program (MSSP) and accountable care organizations (ACOs) rather than moving forward with a new DPC model.

By Joanne Finnegan | May 29, 2018 2:10pm

Physicians are split on a Centers for Medicare & Medicaid Services proposal to allow doctors to bill Medicare patients directly. At issue is a CMS proposal to allow so-called direct provider contracting (DPC) between payers and primary care or multispecialty group practices within the Medicare fee-for-service program, Medicare Advantage and Medicaid. Numerous healthcare groups submitted comments to CMS by Friday’s deadline as the agency sought feedback before testing the new billing model.




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