older man and woman with nurse CMS said it arrived at its decision in the wake of comments received last year to an RFI on which new priorities the CMS Innovation Center should pursue. (Photo: Shutterstock)

Just as states are increasingly taking action against the practice of balance billing—wherein health care providers can bill patients for any amounts still outstanding when an insurer has paid up to a predetermined ceiling for care provided—the Center for Medicare and Medicaid Services plans to launch a new payment model expanding that practice.

CMS announced its plan for direct provider contracting yesterday. In its announcement, which Inside Health Policy Daily notes was a “loosely described model,” the CMS said direct provider contracting would “allow providers to take further accountability” and would “enhance the doctor-patient relationship by eliminating administrative burden for clinicians.”

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