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.”…

The 53 participants in CMS’ direct contracting model

May 4, 2021Garrett SchmittNo CommentsACOs, CMS, CMS Innovation Center, direct contracting, Medicare ACOs

CMS recently named the 53 organizations that are participating in the 2021 performance year for the Global and Professional Direct Contracting Model. The model’s 2021 performance year starts April 1. The goals of the model include allowing more types of organizations to participate in risk-sharing arrangements and build off of Medicare ACO efforts like the…

New ACO Playbook: Can Coordination Of Care Save Enough Money To Save ACOs?

April 29, 2021Garrett SchmittNo CommentsACOs, care coordination, care plans, care teams, CMS, CMS Innovation Center, coordination of care, data organization, direct contracting, Medicare, organization of care, Primary Care First, savings, Shared Savings, vbc

Central to the controversy about ACOs’ potential for Value-Based Care is whether they actually save enough money and reduce costs fast enough. Researchers and advocates have produced various independent studies of ACO savings, the most generous estimating $1.8 billion in cumulative savings over the first three years of the program, almost double CMS estimates. Many…

To Sustain The Value Movement, Make Next Generation ACOs A Permanent Option

April 9, 2021Garrett SchmittNo CommentsCMS Innovation Center, COVID-19, full risk, Medicare, MSSP ENHANCED, Next Generation ACOs, Pathways to Success, Performance, value based

The goal of the value movement is to incentivize providers to move away from the traditional fee-for-service model and provide coordinated care for patients with an eye toward improving quality and reducing cost. One key mechanism to achieve this goal is accountable care organization (ACO) models that—because they are offered along a continuum of varying…

What Alex Azar wants on value-based care (and how it resembles Obama’s goals)

March 6, 2018Garrett SchmittNo CommentsAlex Azar, CMS, CMS Innovation Center, HHS, MACRA

ALEX AZAR LAYS OUT VALUE-BASED CARE AGENDA — The HHS secretary’s four stated priorities, presented at a Federation of American Hospitals conference, generally mirror what the Obama administration pushed in its final years in office, POLITICO’s David Pittman reports. The methods for achieving those goals, of course, will likely look different. — Azar priority #1: Allow…

“What is CMMI?” and 11 other FAQs about the CMS Innovation Center

February 27, 2018Garrett SchmittNo CommentsCMMI, CMS, CMS Innovation Center

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,…

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