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The Most Successful Alternative Payment Models from CMMI, To Date

The Most Successful Alternative Payment Models from CMMI, To Date

December 13, 2022Jacqueline LaPointeRevCycleIntelligenceAlternative payment models (APMs),CMS, CMMI, Government, Policy & Regulations

The Center for Medicare & Medicaid Innovation (CMMI) has launched more than 50 alternative payment and care delivery model tests, with 33 models now or still operational, according to CMMI’s sixth report to Congress on its progress.

These model tests have impacted the lives of millions of patients. In the two-year period covering the report, CMMI reports that operational model tests have included over 314,000 healthcare providers and/or plans alone that have impacted the medical care of more than 41.5 million Medicare and Medicaid beneficiaries, as well as commercially-insured individuals. CMMI aims for alternative payment and care delivery model tests to improve the quality of healthcare for these participants while making the delivery of medical care more affordable for all stakeholders.

Quality of care and cost savings have been the two metrics by which CMMI has evaluated its current and previous model demonstrations. However, few alternative payment and care delivery models have been able to achieve both and even fewer have qualified for expansion based on their cost reductions.

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