Cleveland, OH,
10:13 AM

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.

About The MetroHealth System

The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it.

The system’s more than 600 doctors, 1,700 nurses and 7,800 employees go to work each day with a mission of service, to their patients and to the community. As Cuyahoga County’s safety-net health system, MetroHealth plays an essential role in the region, caring for anyone and everyone, regardless of an ability to pay.

Founded in 1837, MetroHealth operates four hospitals, four emergency departments and more than 20 health centers and 40 additional sites throughout Cuyahoga County. The system serves more than 300,000 patients, two-thirds of whom are uninsured or covered by Medicare or Medicaid.

MetroHealth is home to Cuyahoga County’s most experienced Level I Adult Trauma Center, verified since 1992, and Ohio’s only adult and pediatric trauma and burn center.

As an academic medical center, MetroHealth is committed to research and to teaching and training tomorrow’s caregivers. Each active staff physician holds a faculty appointment at Case Western Reserve University School of Medicine. Its main campus hospital houses the Cleveland Metropolitan School District’s Lincoln-West School of Science & Health, the only high school in America located inside a hospital.

Knowing that good health is about much more than good medical care, MetroHealth has launched the Institute for H.O.P.E.™ (Health, Opportunity, Partnership, Empowerment), which uses a coordinated, collaborative and strategic approach to help patients with non-medical needs such as healthy food, stable housing and job training.

The MetroHealth Glick Center, a new 11-floor hospital, is under construction on the system’s main campus in Cleveland and is scheduled to welcome its first patients in October 2022. The billion-dollar project is the cornerstone of a wider neighborhood revitalization effort led by the system and its partners in the community.

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