The Center for Medicare & Medicaid Innovation (CMMI) remains committed to moving the health care system towards value-based care in the early years of the Biden Administration, though the center’s leadership is doing some soul-searching on how best to pursue its mission, according to CMMI’s new director Liz Fowler. Fowler made her first public remarks…
The Global and Professional Direct Contracting Model — a Center for Medicare & Medicaid Innovation (CMMI) creation — has been put on pause. The holdup is just another example of CMMI pumping the brakes on an alternative payment model in the days since the Biden administration took over the executive branch. Broadly, the Global and…
Researchers at the University of Pennsylvania recently published a white paper that proposes a roadmap for value-based care over the next decade. On March 12, the co-authors gathered virtually to discuss lessons learned over the last decade and their five key recommendations, which include aligning alternative payment models (APMs) across all publicly financed healthcare and giving health equity a…
Telehealth and other connected health services are not the silver lining to the pandemic that many people thought. Many patients can’t afford or don’t want the needed broadband connection, creating another obstacle for the underserved. In Orange County, Calif., when COVID-19 forced CalOptima to shut down its health and social care center, Elizabeth Lee, director…
HHS needs to overhaul its approach to value-based payment to ensure widespread practice transformation and rein in Medicare spending, according to a report by the Leonard Davis Institute of Health Economics at the University of Pennsylvania released Wednesday. Experts said the agency needs a new strategy because providers and payers have been too slow to adopt value-based…
Consumer advocates, accountable care organizations and several experts think CMS’ Center for Medicare & Medicaid Innovation should delay its Geographic Direct Contracting model—dubbed “Geo”—until it resolves a number of issues that could create significant confusion among Medicare beneficiaries and operational and financial challenges for providers. The model builds on the lessons learned from the Medicare…
Last Wednesday, the venerable New England Journal of Medicine published “CMS Innovation Center at 10 Years — Progress and Lessons Learned” authored by Brad Smith, the Director of the Center for Medicare and Medicaid Innovation. After 10 years and $20 billion, he concluded that “value-based care will achieve its promise only if the federal government…
Earlier this week, the Centers for Medicare & Medicaid Services (CMS) announced a new model designed to test approaches to supporting rural providers and communities in their efforts to transform their care delivery systems to promote accessible, high-value care. The new Innovation Center (CMMI) initiative, called the Community Health Access and Rural Transformation (CHART) Model,…
What might be in the works over at the Centers for Medicare and Medicaid Innovation (CMMI)? Are there new pilot models actively in development that will be rolled out this year? Many industry stakeholders, including federal lawmakers, are eager to know what the relatively opaque agency has in store. Created under the Obama administration, CMMI…
What is CMMI – the Center for Medicare and Medicaid Innovation? The Center for Medicare and Medicaid Innovation (CMMI), also known as the “Innovation Center,” was authorized under the Affordable Care Act (ACA) and tasked with designing, implementing, and testing new health care payment models to address growing concerns about rising costs, quality of care,…