MetroHealth Joins Innovative Medicare Value-Based Model

The MetroHealth System has announced that it is participating in the Center for Medicare and Medicaid Services’ (CMS) latest value-based model called Global and Professional Direct Contracting (GPDC).

In April, The MetroHealth System and its Population Health Innovation Institute activated Collaborative Care Partners (CCP) for its Direct Contracting Entity, one of the pioneering organizations in CMS’ new Global and Professional Direct Contracting Model (GPDC). MetroHealth’s CCP is one of only 53 Direct Contracting Entities across the United States.

CCP is expanding with opportunities for preferred provider relationships in value-based risk-bearing opportunities and currently facilitates care coordination for approximately 10,000 Medicare beneficiaries as part of the CMS GPDC Model.

“It’s our pleasure to continue serving CMS’ value-based Medicare innovations, the latest being the Global and Professional Direct Contracting Model,” said Susan Mego, Collaborative Care Partners President and MetroHealth’s Executive Director of Payer Strategy, Managed Care and Operations. “The synergy Collaborative Care Partners generates with its participating providers and their patients builds upon successes that distinguished MetroHealth Care Partners as an accountable care organization since 2014.”

The Center for Medicare and Medicaid Services' (CMS) Global and Professional Direct Contracting (GPDC) model consists of doctors, hospitals and other health care providers who agree to work together to coordinate care to keep patients healthy. All MetroHealth clinicians are participating in CCP to ensure patients get the care they need when they need it while avoiding unnecessary costs.

"As health care continues to shift from traditional to value-based care models, payers and providers will continue to identify opportunities to share in the risk and reward for effectively caring for patients," said Sherman Lee, MetroHealth Population Health Operations Manager.

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.