NPHI Provides Direct Contracting Model Overview to Members (12.10.20)

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NPHI Provides Direct Contracting Model Overview to Members (12.10.20)

NPHI Provides Directing Contracting Model Overview to Members (12.10.20)

Today, the National Partnership for Healthcare and Hospice Innovation (NPHI) hosted Gary Bacher, Chief of Strategy, Policy, & Legal Affairs, at Capital Caring Health and the former Chief Strategy Officer for the CMS Center for Medicare and Medicaid Innovation (CMMI), to lead a discussion on the Direct Contracting model. Gary provided the membership with a summary of the three distinct types of Direct Contracting Entities (DCEs), the two participation options, and the overarching goals of the model. As with other CMMI models, it aims to reduce costs to the Medicare program, improve quality of care for beneficiaries, and promote innovation of value-based models and new risk-sharing arrangements.

“Non-profit, community-based hospice and palliative care providers have an immense opportunity in the coming years to meet patients where they are, higher upstream from the traditional Medicare hospice benefit. The Direct Contracting model and other innovative payment models coming out of the Innovation Center offer our membership exciting and new options in pursing that goal.” said Tom Koutsoumpas, President & CEO of NPHI. “NPHI stands ready to assist our membership as additional non-profit, community-based hospice providers expand their services to offer primary care at home, advanced illness management, and other services meant to expand their clinical reach.”

The conversation, entitled “NPHI Member Engagement Call: Direct Contracting”, was part of a biweekly series of NPHI-hosted discussions to address today’s pressing hospice topics through engagement with health policy experts, thought leaders, and other industry innovators.

The discussion aimed at presenting and educating NPHI’s membership on the technical and operational parameters of the Direct Contracting model with specific respect to the risk sharing approaches, capitation options, and implementation and performance year timelines. Additionally, the dialogue focused on providing members with the necessary information to pursue potential involvement in a DCE in the future, should their programs be interested in joining or forming one for the second performance period. Click here to learn more about this series or how to become an NPHI member.

About the National Partnership for Healthcare & Hospice Innovation

The National Partnership for Healthcare and Hospice Innovation (NPHI) is a collaborative of 70+ not-for-profit, community-integrated, advanced illness, and hospice providers from across the United States who play a unique role as a crucial safety net for the sickest, most vulnerable patients in the communities they serve. For more information, visit

About the Capital Caring Health

Since 1977, CCH has provided hospice, palliative care, and counseling services to nearly 120,000 patients and their families, in the Washington D.C. area. They are one of the nation’s oldest and largest non-profit providers of these services. For more information, visit