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Caution! CMS creates DCE

Posted by MHOAI Staff on March 28, 2022 in On Capitol Hill | 60 Views

If you have an original or MA plan you may receive a letter in 2022 stating your healthcare coverage has been changed.

CMS created DCE (Direct Contracting Entity) enrolling seniors into healthcare coverage they might NOT want.

Direct Contracting | CMS

Transform risk-sharing arrangements in Medicare FFS by offering both capitated and partially capitated population-based payments that move away from traditional FFS.

Dr. Rogers began her testimony on Direct Contracting with this opening paragraph: “A majority of seniors and disabled Americans choose Traditional Medicare (TM) over Medicare Advantage (MA) because they value the free choice of providers and the power to manage their own care. However, under the Medicare Direct Contracting (DC) pilot program, millions of beneficiaries who actively chose TM are being automatically enrolled into third-party Direct Contracting Entities (DCEs) without their full knowledge or consent.” She noted: “If a senior is auto-aligned into a DCE, their only way to remove themselves from the DCE is to change primary care providers. Click here to read the transcript of Dr. Rogers’s testimony. https://www.nrln.org/wp-content/uploads/2022/02/Medicare-Direct-Contracting-A-Threat-to-Seniors-and-to[1]Medicares-Future.pdf. The NRLN announced its opposition to the CMS (Centers for Medicare and Medicaid) Direct Contracting program’s threat to Medicare with an Action Alert on December 7, 2021. More than 8,700 letters were sent to President Biden and members of Congress to urge them to stop CMS’ dangerous action to destroy Medicare. Letters to HHS Secretary and CMS Administrator NRLN President Bill Kadereit sent letters on February 18 to Xavier Becerra, Secretary of Health and Human Services and Chiquita Brooks-LaSure, Administrator of the Centers for Medicare and Medicaid.

 

Posted in On Capitol Hill | Tagged CMS, Medicare

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