Evolent Provides Input to CMMI on Direct Contracting Payment Models

May 30, 2019

In late April 2019, the CMS Center for Medicare and Medicaid Innovation (CMMI) announced its long-awaited Direct Contracting payment models, which encourage primary care providers to take on two-sided risk. While some details of the program remain unclear, Evolent Health offered the center input on these models, including a set of principles that we believe should guide the program. 

These principles include:

  • Incentivize and give primacy to full-risk, total-cost-of-care models.
  • Ensure sufficient flexibility within the payment rate to support administrative costs and creative payment incentive arrangements between Direct Contracting Entities and their participating and preferred providers. 
  • Provide strong tools and incentives for providers and beneficiaries to form high-value Direct Contracting networks.
  • Provide a sustainable benchmarking methodology that considers organizations’ prior experience in risk and incentivizes both value and efficiency.
  • Provide a stable and consistent risk adjustment methodology.  
  • Ensure predictability and stability for organizations assuming significant risk. 

For details, read the full letter to Adam Boehler, CMS Deputy Administrator for Innovation & Quality and CMMI Director.

Learn More About Direct Contracting

Find additional insights in these Evolent Knowledge Center resources. 

Previous Article
Value-Based Care News Digest - June 2019
Value-Based Care News Digest - June 2019

In this edition: Houston is a testing ground for new primary care models. Innovations proliferate around te...

Next Article
Understanding the New CMS Primary Care Payment Models
Understanding the New CMS Primary Care Payment Models

Will providers flock to Direct Contracting models? Evolent’s Chris Dawe and Ashley Ridlon speak with Medica...


First Name
Last Name
Company Name
Subscribe to get our latest insights and industry news delivered to your inbox
Thank you!
Error - something went wrong!