In this session, experts discuss significant barriers to innovation in healthcare delivery, including financial misalignment of Fee for Service reimbursement, outdated fraud and abuse laws, and lack of meaningful data. Medicare's new Direct Contracting (DC) program, run by the Center for Medicare and Medicaid Innovation, addresses all three. DC is the Innovation Center's first value-based care model that dismantles the FFS underpinning and offers unparalleled financial incentives, benefit enhancements and beneficiary engagement incentives. This session reviews the basic mechanics of the prospective capitation model and how it creates a platform for innovation.
