Direct Contracting

The Direct Contracting Model builds upon the successful Next Generation ACO Model and offers higher levels of risk and reward than the Medicare Shared Savings Program. There are at least two options, Professional and Global, each with three types of Direct Contracting Entities; Standard, New Entrant and High Needs Populations. The five-year model is set to launch with an implementation period in 2020 and its first performance year in 2021. 

Questions or feedback about the model are welcomed and can be sent to [email protected].


  • CMMI’s Direct Contracting webpage
    • CMS offers more details in this factsheet 
    • Applications for organizations participating in the Implementation Period are due Feb. 25, 2020. A second application period for those interested in starting in 2021 will open in Spring 2020. 

NAACOS Member Resources 

  • NAACOS overview of Direct Contracting 

  • NAACOS chart comparing Direct Contracting and other high-risk ACOS 

  • NAACOS chart of CMS Innovation Center models and their overlap with ACOs 

News and Advocacy

  • NAACOS Statement on Direct Contracting Request for Applications

  • NAACOS submits feedback on new Geographic and Professional and Global Options of Direct Contracting Models from the CMS Innovation Center

  • NAACOS released a statement welcoming more options for value-based payment arrangements in the form of Direct Contracting and Primary Care First

  • NAACOS calls for greater transparency in Innovation Center’s work

  • NAACOS submits comments in response to CMS’s Request for Information on Direct Provider Contracting models

 indicates members only resource