Released: CMS Innovation Center Report to Congress

On Thursday, January 5, 2017 the CMS Innovation Center released its third Report to Congress. While the focus of the report was on activities between October 1, 2014 and September 30, 2016, it also included initiatives between September 30, 2016 and December 31, 2016.

The report indicates that the Innovation Center has tested or announced 39 payment and service delivery models and initiatives and that a combined 18 million CMS beneficiaries and individuals with private insurance included in multi-payer models have been impacted by, have received care, or will soon be receiving care furnished by more than 207,000 health care providers participating in CMS Innovation Center payment and service delivery models and initiatives.

The report also describes the role the Innovation Center has played with MACRA implementation through the development of Advanced Alternative Payment Models. Through the Advanced APM track of the Quality Payment Program, clinicians may earn a five percent incentive payment from 2019-2024 with sufficient participation in Advanced APMs. Currently, there are seven Advanced APMs being administered by the Innovation Center. This number is expected to increase to 11 by 2018. 

The CMS Innovation Center was established by the Affordable Care Act. Congress created the CMS Innovation Center for the purpose of testing “innovative payment and service delivery models to reduce program expenditures…while preserving or enhancing the quality of care” provided to individuals who receive Medicare, Medicaid, or Children’s Health Insurance Program (CHIP) benefits.

The report is available here.