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CMMI was created by the Affordable Care Act in 2010, with the goal of promoting value-based care and building pilot programs that would test new approaches in Medicare, Medicaid and the Children’s Health Insurance Program.
Between 2011 and 2020, the center launched nearly 50 models, though only six generated statistically significant savings and four were certified for expansion, according to the CBO report. The CMS has estimated that more than 41.5 million people have been impacted by or received care in innovation center models since late 2020.
Though the report concluded the center had increased net federal spending during its first years in operation, the agency noted its estimates of the financial impact of CMMI includes some uncertainty, some of which could inflate the increase in federal spending.
“For example, the agency’s analysis did not capture savings that might have accrued to Medicare through its permanent ACO program, known as the Medicare Shared Savings Program,” according to the report. “Although that program is not part of CMMI’s activities, its design has been informed by the experience of ACOs that the center has operated.”