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CMS/CMMI
December 17, 2019
Direct Contracting Model:
Professional and Global Options
Office Hours
Office Hours Overview
1. Model Design and Goals
2. Participation and Eligibility
3. Direct Contracting Entity (DCE) Types
4. Beneficiary Alignment
5. Payment and Quality
6. Benefit Enhancements and Patient Engagement Incentives
7. Model Timeline
8. Upcoming Webinars and Questions
2
Session Objectives: Review key information related to the Direct Contracting Model and answer your questions
on several topics.
Please submit questions via the Q&A feature on the bottom of the Zoom platform throughout the session. We
will address questions at multiple points during the event.
Model Design and Goals
CMS/CMMI
Direct Contracting Model Design and Goals
4
Direct Contracting Model Design and Goals Q&A
Please submit questions via the Q&A feature on the bottom of your Zoom screen.
Participation and Eligibility
CMS/CMMI
Direct Contracting Participation and Eligibility
6
Direct Contracting Participation and Eligibility
Please submit questions via the Q&A feature on the bottom of your Zoom screen.
Direct Contracting Entity (DCE) Types
CMS/CMMI
Direct Contracting Entity (DCE) Types
8
Direct Contracting Entity (DCE) Types Q&A
Please submit questions via the Q&A feature on the bottom of your Zoom screen.
Beneficiary Alignment
CMS/CMMI
Direct Contracting Beneficiary Alignment
10
Direct Contracting Beneficiary Alignment
Please submit questions via the Q&A feature on the bottom of your Zoom screen.
Payment and Quality
CMS/CMMI
Direct Contracting Payment and Quality
12
Direct Contracting Payment and Quality
Please submit questions via the Q&A feature on the bottom of your Zoom screen.
Benefit Enhancements
and Patient Engagement Incentives
CMS/CMMI
Direct Contracting Benefit Enhancements and Patient
Engagement Incentives
14
Direct Contracting Benefit Enhancements
and Patient Engagement Incentives
Please submit questions via the Q&A feature on the bottom of your Zoom screen.
Model Timeline
CMS/CMMI
Direct Contracting Model Timeline
16
Direct Contracting Model Timeline
Please submit questions via the Q&A feature on the bottom of your Zoom screen.
Open Q&A
CMS/CMMI
Open Q&A
18
Open Q&A
Please submit questions via the Q&A feature on the bottom of your Zoom screen.
Model Timeline
19
Model Timeline
Timeline
Implementation Period (IP)
DCE Applicants
Performance Period (PY1)
DCE Applicants
Application Period
November 25, 2019 –
February 25, 2020
(Application tool available
December 20, 2019 [tentative])
March 2020 – May 2020
DCE Selection April 2020 September 2020
Deadline for applicants to sign
and return Participant
Agreement (PA)
Late April 2020
(Implementation Period PA)
December 2020
(Performance Period PA)
December 2020
Initial Voluntary Alignment
Outreach and start of IP or PY
May 2020 January 2021
This timeline may be subject to change. Please check the Directing Contracting webpage for webinar and office hour dates and times.
20
Upcoming Webinars and Questions
21
Upcoming Webinars
Webinar Date
Benefit Enhancements and Patient Engagement Incentives December 18, 2019
Application Overview January 7, 2020
Office Hour Session for Questions and Answers – 2 January 8, 2020
Payment – Part 1 (Risk Sharing, Risk Mitigation, Cash Flow) January 15, 2020
Payment – Part 2 (Risk Adjustment, Benchmarking, Quality) January 22, 2020
Office Hour Session for Questions and Answers – 3 January 28, 2020
Office Hour Session for Questions and Answers – 4 February 11, 2020
This timeline may be subject to change. Please check the Directing Contracting webpage for webinar and office hour dates and times.
22
Thank You!
• Sign up for our Direct Contracting listserv:
https://public.govdelivery.com/accounts/USCMS/subscriber/new?topic_id=USCMS_617
• Visit the Direct Contracting website at: https://innovation.cms.gov/initiatives/direct-
contracting-model-options/
• Apply through the RFA online portal at: https://app1.innovation.cms.gov/dcrfa/dcrfaLogin
• Follow us on Twitter @CMSinnovates
• For any questions, please email the Direct Contracting Model team at: DPC@cms.hhs.gov
• For Salesforce support, contact: CMMIForceSupport@cms.hhs.gov
Thank you for attending the Direct Contracting Model Office Hours! For more information on the Direct
Contracting Model, please refer to the additional resources below.
23

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Office Hours: Direct Contracting Model Options - Direct Contracting Overview/DCE Types/Alignment

  • 1. CMS/CMMI December 17, 2019 Direct Contracting Model: Professional and Global Options Office Hours
  • 2. Office Hours Overview 1. Model Design and Goals 2. Participation and Eligibility 3. Direct Contracting Entity (DCE) Types 4. Beneficiary Alignment 5. Payment and Quality 6. Benefit Enhancements and Patient Engagement Incentives 7. Model Timeline 8. Upcoming Webinars and Questions 2 Session Objectives: Review key information related to the Direct Contracting Model and answer your questions on several topics. Please submit questions via the Q&A feature on the bottom of the Zoom platform throughout the session. We will address questions at multiple points during the event.
  • 3. Model Design and Goals CMS/CMMI
  • 4. Direct Contracting Model Design and Goals 4 Direct Contracting Model Design and Goals Q&A Please submit questions via the Q&A feature on the bottom of your Zoom screen.
  • 6. Direct Contracting Participation and Eligibility 6 Direct Contracting Participation and Eligibility Please submit questions via the Q&A feature on the bottom of your Zoom screen.
  • 7. Direct Contracting Entity (DCE) Types CMS/CMMI
  • 8. Direct Contracting Entity (DCE) Types 8 Direct Contracting Entity (DCE) Types Q&A Please submit questions via the Q&A feature on the bottom of your Zoom screen.
  • 10. Direct Contracting Beneficiary Alignment 10 Direct Contracting Beneficiary Alignment Please submit questions via the Q&A feature on the bottom of your Zoom screen.
  • 12. Direct Contracting Payment and Quality 12 Direct Contracting Payment and Quality Please submit questions via the Q&A feature on the bottom of your Zoom screen.
  • 13. Benefit Enhancements and Patient Engagement Incentives CMS/CMMI
  • 14. Direct Contracting Benefit Enhancements and Patient Engagement Incentives 14 Direct Contracting Benefit Enhancements and Patient Engagement Incentives Please submit questions via the Q&A feature on the bottom of your Zoom screen.
  • 16. Direct Contracting Model Timeline 16 Direct Contracting Model Timeline Please submit questions via the Q&A feature on the bottom of your Zoom screen.
  • 18. Open Q&A 18 Open Q&A Please submit questions via the Q&A feature on the bottom of your Zoom screen.
  • 20. Model Timeline Timeline Implementation Period (IP) DCE Applicants Performance Period (PY1) DCE Applicants Application Period November 25, 2019 – February 25, 2020 (Application tool available December 20, 2019 [tentative]) March 2020 – May 2020 DCE Selection April 2020 September 2020 Deadline for applicants to sign and return Participant Agreement (PA) Late April 2020 (Implementation Period PA) December 2020 (Performance Period PA) December 2020 Initial Voluntary Alignment Outreach and start of IP or PY May 2020 January 2021 This timeline may be subject to change. Please check the Directing Contracting webpage for webinar and office hour dates and times. 20
  • 21. Upcoming Webinars and Questions 21
  • 22. Upcoming Webinars Webinar Date Benefit Enhancements and Patient Engagement Incentives December 18, 2019 Application Overview January 7, 2020 Office Hour Session for Questions and Answers – 2 January 8, 2020 Payment – Part 1 (Risk Sharing, Risk Mitigation, Cash Flow) January 15, 2020 Payment – Part 2 (Risk Adjustment, Benchmarking, Quality) January 22, 2020 Office Hour Session for Questions and Answers – 3 January 28, 2020 Office Hour Session for Questions and Answers – 4 February 11, 2020 This timeline may be subject to change. Please check the Directing Contracting webpage for webinar and office hour dates and times. 22
  • 23. Thank You! • Sign up for our Direct Contracting listserv: https://public.govdelivery.com/accounts/USCMS/subscriber/new?topic_id=USCMS_617 • Visit the Direct Contracting website at: https://innovation.cms.gov/initiatives/direct- contracting-model-options/ • Apply through the RFA online portal at: https://app1.innovation.cms.gov/dcrfa/dcrfaLogin • Follow us on Twitter @CMSinnovates • For any questions, please email the Direct Contracting Model team at: DPC@cms.hhs.gov • For Salesforce support, contact: CMMIForceSupport@cms.hhs.gov Thank you for attending the Direct Contracting Model Office Hours! For more information on the Direct Contracting Model, please refer to the additional resources below. 23