Direct Contracting Entities (DCE)
Did you know…
Medicare reserves have decreased by $95 billion in the last two years.
Medicare participants have increased by 17.1 million in the past decade.
Since measurable participation in alternative care models, Medicare reserves have fallen by $186.4 billion.
Risk sharing in Medicare needed a transformation.
This is where DCE comes in.
The CMS learned from similar models.
DCEs were built from valuable lessons we learned from Accountable Care Organizations (ACOs) and Medicare Advantage Plans (MA). Like the ACO model, patients are automatically aligned to the DCE based on Primary Care claims. However, unlike ACOs that were unable to create significant savings, DCEs bear the risk (like MA plans).
So it’s the best of both worlds combined, with the patient in mind.
And they created a new model that works better for everyone.
DCEs like ilumed enter a value-based contract with CMS. We bear the risk, we reduce administrative burden, and we empower the patient with more provider choices.
In an important nutshell: DCEs help patients feel their best.