September 22, 2017
On September 20, 2017, the CMS Innovation Center issued a Request for Information (RFI) seeking feedback on the future direction for the Center’s efforts. The RFI is available here.
Congress created the Innovation Center in 2010 to test new approaches and models to pay for and deliver healthcare. In an accompanying op-ed published in the Wall Street Journalon September 19, 2017, CMS Administrator Seema Verma announced the release of the RFI and that CMS is considering new directions to determine what is and is not working at the Innovation Center.
The RFI is consistent with language in the recently released proposed rule revising mandatory bundled payment models released in mid-August by declaring a clear preference for voluntary over mandatory payment models. This signals a different direction from the previous Administration, which implemented the mandatory Comprehensive Joint Replacement Model (CJR), finalized regulations for mandatory cardiac episode payment models and proposed a mandatory payment model for Part B drugs (never finalized).
In the RFI CMS indicates that they will approach new model design through the following guiding principles:
Innovation Center Focus Areas
The Innovation Center is interested in testing models in the following eight focus areas:
CMS posed the following questions in the RFI. They are seeking evidence-based, empirical, and actionable evidence and are requesting respondents to cite this evidence in the feedback they submit to CMS.