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CMS Requests Feedback on Direct Provider Contracting

The Centers for Medicare & Medicaid Services (CMS) this week issued a request for information (RFI) on a new potential model involving direct provider contracting (DPC).

The new model would allow providers to contract directly with patients, rather than contracting with Medicare or private insurers. CMS is considering a DPC model, or multiple DPC models, focused on primary care. The model would be intended to reduce cost and administrative burden on providers.

In an example outlined in the RFI, CMS could enter into arrangements with primary care practices and pay them a per-beneficiary, per-month payment to cover primary care services furnished under the model. Practices could earn performance-based incentives for achieving cost and quality benchmarks.

Comments should be submitted electronically to CMS at by May 25.

Contact Senior Director of Policy Erin O’Malley at or 202.585.0127 with questions.


About the Author

Rachel Schwartz is a former policy associate at America's Essential Hospitals.

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