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The Center for Medicare and Medicaid Innovation (CMMI) announced its approach to President Donald Trump and Secretary Robert F. Kennedy’s call to “Make America Healthy Again” – and it promises to, among other aims, increase patients’ ability to receive care in the setting of their choice, including the home.
The new strategy, announced Tuesday, also includes a plan that could scale back centralized rate-setting and require providers to take on downside risk for all alternative payment models.
“Aligning to our statutory mandate, [we will] work to ensure that our model tests reduce costs and have a pathway to scale into permanent Medicare, Medicaid and CHIP programs,” CMMI’s director, Abe Sutton, said on a Tuesday webinar. “We will accomplish this, for instance, by strengthening model design, requiring downside risk, prioritizing high value care services and reducing low value care. We will work to reduce the role of rate setting in our program. It is through this lens that we will assess new and existing models with the intention of curbing Medicare and Medicaid spending, protecting our federal programs and right-sizing the focus of our health care system on our patients.”