What CMMI’s director told us about mandatory payment models, ACOs, and more

January 3, 2022acoACO, ACOs, payment models

The world of health care has changed a lot in the past decade, and the Center for Medicare and Medicaid Innovation (CMMI) at CMS has been behind a lot of that change. Radio Advisory’s Rachel Woods sat down with Liz Fowler, director of CMMI, to talk about what innovations CMMI has worked on in the…

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.”…

Value-Based Payment Models May Help Hospitals Prepare for Surges

October 7, 2021Garrett SchmittNo CommentsCoronavirus, COVID-19, COVID-19 pandemic, hospital surges, Hospitals, pandemic, payment models, value-based care, value-based payment, value-based payment models, vbc

Hospitals and health systems can implement value-based payment models to ensure preparedness for seasonal and pandemic capacity surges, according to industry experts. Hospitals experienced increased demand for tangible resources and staff during the COVID-19 pandemic, demand health systems typically only face during peak flu season. Unlike organizations in other industries, hospitals and health systems tend to lose…

CMMI director hints at shift away from payment models for every episode of care, specialties

October 5, 2021Garrett SchmittNo CommentsAPMs, Biden administration, CMMI, Liz Fowler, payment models, value-based care payment models, vbc

The Biden administration wants to move away from creating value-based care payment models for every type of disease, episode of care or specialty groups to streamline its projects, a top official said. Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler said during a briefing Tuesday hosted by the Alliance for Health Policy that more…

Rep. DelBene: How Congress can help deliver right incentives to providers for value-based care

July 30, 2021Garrett SchmittNo CommentsAPMs, Bundled Payments, congress, DelBene, payment models, provider incentives, Rep. DelBene, Rep. Suzan DelBene, Value in Health Care Act

For Rep. Suzan DelBene, D-Washington, a major proponent of legislation in Congress on value-based care, a key driver is making sure that providers have the tools to succeed in payment models and figuring how Congress can help make that happen. DelBene is the lead sponsor in the Value in Health Care Act, bipartisan legislation recently…

A Decade of Value-Based Payment: Lessons Learned And Implications For The Center For Medicare And Medicaid Innovation, Part 1

June 9, 2021Garrett SchmittNo CommentsACOs, APMs, CMS, Cost Reduction, COVID-19, Fee for service, health spending, organization of care, payment, payment models, value-based payment, value-based purchasing, vbc

Over the past decade, adoption of value-based payment (VBP) models has increased substantially. The Center for Medicare and Medicaid Innovation’s has launched multiple new models since its authorization, commercial payers have structured almost one-third of their payments as alternative payment models (APMs), and state Medicaid programs have increasingly included payment reforms in their waivers and…

CMMI director: Expect more mandatory value-based care payment models

June 3, 2021Garrett SchmittNo CommentsCMMI, mandatory models, payment models, risk selection, value-based care, voluntary models

The Biden administration is exploring making more payment models mandatory in the future as it implements a more patient-centric vision for value-based care. Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler detailed parts of this vision on Thursday during an interview with Health Affairs Editor-in-Chief Alan Weil. Fowler said voluntary models come with major…

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