DCE: Direct Contracting Entities
Recent risk-sharing payment model in Medicare, launched by CMS, to promote value-based and coordinated care.
It differs from ACOs in terms of the requirements and level of risk available (refer to Table 1). Also, CMS would offer monthly Total Care Capitation or Primary Care Capitation (capitated and risk-adjusted) under two models – Professional and Global.
QHIN: Qualified Health Information network
Network of organizations working together to share data. QHINs will connect directly to each other to ensure interoperability between the networks they represent. By establishing a network of QHINs, TEFCA (Trusted Exchange Framework & Common Agreement) seeks to provide a single “on-ramp” for nationwide connectivity and ensure the integrity and security of data as it is delivered where and when needed.