A Roadmap for Value-Based Payment in 2030

March 13, 2021Garrett SchmittNo CommentsCMMI, FFS, MIPS

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…

The digital divide becomes a new social determinant of health

February 22, 2021Garrett SchmittNo CommentsCMMI

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…

Coordinated payment policies could speed transition to value, experts say

February 17, 2021Garrett SchmittNo CommentsCMMI

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…

CMMI’s geographic direct contracting model needs an overhaul, experts say

February 10, 2021Garrett SchmittNo CommentsCMMI

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…

Re-thinking Alternative Care Models and Value-based Care

January 18, 2021Garrett SchmittNo CommentsCMMI

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…

CMMI Announces New Model to Support Rural Value Transformation

August 13, 2020Garrett SchmittNo CommentsCMMI, Rural

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,…

Are New APMs from CMMI Coming Soon? Industry Stakeholders Forecast Bold Moves from the CMS Innovation Center in 2019

January 11, 2019Garrett SchmittNo CommentsAlex Azar, APMs, CMMI, Seema Verma

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