Improving Primary Care Access for Medicaid Recipients Through Direct Arrangements.
This law clarifies that states can use a Direct Primary Care (DPC) model to provide primary care services to Medicaid beneficiaries. DPC involves paying primary care providers a fixed periodic fee (subscription model), potentially increasing access and continuity of care for those relying on Medicaid. The legislation mandates federal guidance and reporting on the effectiveness and cost of these new arrangements.
Key points
States are explicitly allowed to offer primary care services under Medicaid using a subscription-based payment model (Direct Primary Care).
Medicaid recipients may gain new options for accessing primary care doctors through these fixed-fee arrangements, potentially improving regular access to care.
The law requires the federal government to analyze the quality and cost of care provided through these new DPC arrangements within two years.
Introduced
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