CMS Innovation Center Strategic Refresh Emphasizes Value-based Payment Models and Health Equity

November 11, 2021Garrett SchmittNo CommentsAffordable Care Act, Center for Medicare and Medicaid Innovation, CMMI, CMS, CMS Innovation Center, health equity, Medicaid, Medicare, payment models, Putting All Patients at the Center of Care, SDOH, strategic refresh, value-based, value-based care, value-based payment models, vbc

Recently, the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” to support broader, more equitable, and outcome-based healthcare delivery transformation while streamlining current and future payment models. Since its inception in 2010 as a part of the Affordable Care Act, CMS has launched over 50 innovation/pilot…

Medicare, Medicaid innovation center lays out ambitious agenda for next decade

November 2, 2021Garrett SchmittNo CommentsACOs, Affordable Care Act, CMMI, CMS, CMS Innovation Center, fee-for-service, Medicaid, Medicare, payment models

The federal agency responsible for developing new health care payment models wants every fee-for-service Medicare beneficiary to be getting care from a provider who’s part of an accountable care organization by 2030. That goal is laid out in a recent white paper from the Center for Medicare and Medicaid Innovation (CMMI), “Driving Health System Transformation—A Strategy for the CMS Innovation Center’s Second Decade.”…

Q&A: Rep. DelBene Talks Fixes to ACOs, Affordable Care Act

September 9, 2021Garrett SchmittNo CommentsACA, Affordable Care Act, DelBene, Medicare

Although accountable care organizations (ACOs) appear to be saving money for Medicare, they haven’t caught on as fast as proponents would like. As part of our occasional series of interviews with members of Congress, MedPage TodayWashington Editor Joyce Frieden spoke with Rep. Suzan DelBene (D-Wash.) about her legislation to improve ACOs and encourage more physicians to sign up…

Pandemic-Driven Medicaid and ACA Expansion

July 21, 2021Garrett SchmittNo CommentsACA, Affordable Care Act, Coronavirus, COVID-19, Medicaid, pandemic

Understanding the full impact of the COVID-19 pandemic on the healthcare industry is not yet possible, but a few outcomes are evident. Medicaid and Affordable Care Act (ACA) enrollment rates are surging alongside the unemployment rate.1 In addition, postponed procedures and delayed routine services—as well as pent-up demand for elective procedures—will soon drive increased utilization….

Population health management: The key to value-based care

December 16, 2019Garrett SchmittNo CommentsACA, Affordable Care Act, Population Health

The Affordable Care Act was passed in 2010 with the goals of controlling healthcare costs and decreasing the number of people without health insurance. While progress has been made to expand coverage (the percentage of uninsured Americans dropped from 17% in 2003 to 12% in 2018), overall expenditures continue to rise. In the United States today, healthcare…

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