MetroHealth Innovation Leads to CMS Direct Contracting Entity
Cleveland - The MetroHealth System is implementing a new initiative for Medicare patients that recognizes MetroHealth’s experience in providing high-quality, cost-effective care.
The Centers for Medicare and Medicaid (CMS) recently awarded MetroHealth approval to operate a Direct Contracting Entity, a cutting-edge value-based care model. Implementation is underway now and full operations start April 1, 2021, as Collaborative Care Partners, in which all MetroHealth providers participate.
A CMS Direct Contracting Entity (DCE) is a group of physicians, hospitals and other providers along the health care continuum working together to deliver high-quality coordinated care while helping slow the growth of health care costs. For example, providers work as a team to use information, communications and care settings in more sophisticated ways to assess and address factors that affect patients’ overall health as well as improve wellness activities. MetroHealth applies its innovative care delivery approaches to serve patients who have Medicare fee-for-service coverage as part of its Direct Contracting Entity participation.
“The MetroHealth System is building upon its Medicare Shared Savings Program Accountable Care Organization successes 2014 through current. We are proud to implement the latest evolution of value-based care models both from CMS and with our managed care payers,” said Susan Mego, Collaborative Care Partners President and MetroHealth’s Executive Director of Payer Strategy, Managed Care and Operations.
MetroHealth operates numerous value-based initiatives designed to meet four goals; producing better care for individuals; better health for populations; lower total cost of care, and better care team well-being.
Collaborative Care Partners is another of those initiatives and the type for which the health system utilizes the most advanced risk-bearing payment method.
“This is an exciting occasion giving MetroHealth an even better opportunity to be rewarded when it improves health care while reducing Medicare spending. It directly aligns with how our clinical teams work hand in hand with our Population Health Innovation Institute,” said Dr. Nabil Chehade, Chair of the Collaborative Care Partners Governing Board and MetroHealth’s Executive Vice President and Chief Clinical Transformation Officer.
Founded in 1837, MetroHealth is leading the way to a healthier you and a healthier community through service, teaching, discovery, and teamwork. Cuyahoga County’s public, safety-net hospital system, MetroHealth meets people where they are, providing care through four hospitals, four emergency departments, and more than 20 health centers and 40 additional sites. Each day, our 8,000 employees focus on providing our community with equitable health care–through patient-focused research, access to care, and support services–that seeks to eradicate health disparities rooted in systematic barriers. For more information, visit metrohealth.org.