Curbs on Insurers, Private Equity Sought for Medicare Pay Plan

Health industry officials hope a palette of possible fixes will help save a disputed Medicare pilot program that faces overhaul or elimination by the Biden administration as early as this week.

The suggested changes range from limiting the role of private equity and health insurers in the program to revamping how spending targets for care are set.

The professional and global direct contracting model was designed to help move traditional Medicare away from fee-for-service care and toward value-based care, in which provider reimbursements are based on patient outcomes and cost efficiency.

The model is under fire from dozens of congressional ...