HCTTF Provides CMS with Direct Contracting Model Feedback

The Health Care Transformation Task Force (HCTTF or Task Force) wrote to CMS to convey our members’ feedback and highlight opportunities to improve the design and implementation of the Direct Contracting Model.

HCTTF Offered the following recommendations

  1. Model Application Details: CMS should make the full details of the financial methodology publicly available by June 2020 at the latest and should extend the application period if this timeline is not feasible. CMS needs to better align participation applications and timelines for participating in Direct Contracting and MSSP.
  2. Direct Contracting Entity Limitations: CMS should allow for alignment between Standard (i.e., Professional and Global) and High Needs DCEs under a single Tax Identification Number (TIN) or for blended capitation rates for high needs beneficiaries treated by Standard DCEs.
  3. Financial Methodology: CMS should enhance the shared savings arrangement to provide stronger incentives for the Professional Track. To truly invest in primary care, CMS should reconsider the design of the enhanced capitation feature of the Primary Care Capitation option.
  4. Quality Measures: CMS should revise the quality measure strategy to align with existing ACO measure sets and focus on issues that are actionable for DCEs and providers.


Read the Full Letter