Takeaway: We continue our analysis of this new program, how CMS defines the market and given that, what the ramp looks like

A few weeks ago, we took a look at the newly launch Direct Contracting Program at CMS. We covered the structure of the program, payment mechanism, risk adjustments and overview of benchmark rates. On Monday, we are going to apply our data sets to the specific markets and other attributes of all the new arrivals on the scene including CANO, CMAX, PRVA, AGL, ALHC. We will also look at the veterans making the pivot to the Direct Contracting Model including OSH and ONEM. We may even have time to see what OSCR, BHG.

Join Us:

Monday, June 21st at 10am ET (Add to Outlook calendar)

Connection Details:

CLICK HERE for event details (includes video and materials link)

(For uncooperative browsers, cut and paste: https://app.hedgeye.com/feed_items/101024?with_category=48-health-policy)

Live Video Only

Topics:

  • Definition of Core and Extended Service Areas in Direct Contracting Program
  • Estimating available FFS beneficiaries for claims and voluntary alignment with Direct Contracting Entity
  • Competing Medicare Advantage penetration in Core and Extended Service Areas
  • Benchmark rates in Core and Extended Service areas v Medicare Advantage rates
  • Provider concentration in Core and Extended Service Areas
  • Marketing guidelines for customer acquisition
  • What the absence of MLR means

And more. We look forward to you joining us.

Emily Evans
Managing Director – Health Policy



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