CMS seeks to allow doctors to bill patients directly

Modern Healthcare: The CMS is planning to launch a new pay model that would allow Medicare beneficiaries to contract directly with physicians.

Under current law, physicians are paid under a fee schedule in Medicare that includes limits on the amount they can bill beneficiaries per service unless they choose to opt out of Medicare and privately contract with all of their Medicare patients.

In its announcement Monday, the CMS said that a direct provider contract model would allow providers to take further accountability for the cost and quality of a designated population to drive better beneficiary outcomes.

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