Tag: CMMI

CMS Seeking Feedback on Value in Opioid Use Disorder Treatment Demonstration

The Center for Medicare and Medicaid Innovation (CMMI) is soliciting stakeholder feedback on the Value in Opioid Use Disorder Treatment Demonstration Program. The Value in Treatment initiative is a 4-year demonstration that was created through the Su...

CMMI Provides Further Details on OCM COVID-19 Flexibilities

On Friday, June 5, 2020, the Centers for Medicare and Medicaid Innovation (CMMI) hosted a conference call to review the COVID-19 flexibilities announced for the Oncology Care Model (OCM). Under the OCM, physician practices have entered into payment a...

CMMI Announces Model Extensions, Delays, and Adjustments in Response to the COVID-19 Pandemic

Today, June 3, the Center for Medicare and Medicaid Innovation (CMMI) released new flexibilities and adjustments for payment models to help protect physicians during the COVID-19 pandemic. CMMI released a comprehensive table detailing the announced f...

CMMI Posts Additional Resources for VBID and the Part D Payment Modernization Model

The Center for Medicare and Medicaid Innovation (CMMI) has posted additional resources for two of the current payment models. On April 2, the Centers for Medicare and Medicaid Services (CMS) held a webinar providing an overview of both the Value-Base...

Maryland All-Payer Model Resulted in $975 Million in Total Savings

On March 2, 2020, CMS released the final evaluation report and a summary of the findings for the Maryland All-Payer Model (MDAPM). The report found that the model helped reduce hospital utilization and lower expenditures for dual-eligible beneficiari...

Ambulance Model Applicants Announced

The Center for Medicare and Medicaid Innovation (CMMI) has selected 205 applicants across 36 states and the District of Columbia to participate in the Emergency Triage, Treat and Transport (ET3) Model. This spring, CMS will share the final list of ET...

House Introduces Legislation to Increase Oversight of CMMI

On February 3, a bipartisan group of Representatives introduced the Strengthening Innovation in Medicare and Medicaid Act (H.R. 5741), a bill aimed at increasing transparency and accountability of the Center for Medicare and Medicaid Innovation (CMMI...

CMS Announces New ACO Participation and Savings Numbers

In a blog post, Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma touted the uptick in participation in two-sided risk arrangements in the redesigned Medicare Shared Savings Program for Accountable Care Organizations (ACOs),...

CMS Hosts Cross-Model Office Hours Session: Primary Care First, Direct Contracting, and Kidney Care Choices Models

The Center for Medicare and Medicaid Innovation (CMMI) will host an office hours session on December 19, 2019 from 12-1:30 PM ET. to describe the Primary Care First Model Options, Direct Contracting Model Options, and Kidney Care Choices Model. Regis...

Final Report: Maryland All-Payer Model Reduced Medicare Expenditures by $975 Million

The Center for Medicare and Medicaid Innovation (CMMI) posted the final evaluation report for the Maryland All-Payer Model. The model reduced total expenditures across payers and total hospital expenditures for Medicare beneficiaries without shifting...

CMMI Posts Resources on Primary Care and Kidney Payment Models

The Center for Medicare and Medicaid Innovation (CMMI) uploaded resources on the Primary Care First and the Comprehensive Kidney Care Contracting models. The models were announced earlier in 2019. The applications are now available and are due Januar...

Warren, Blunt and Other Members of Congress Request Information from CMMI on Efforts to Address Maternal Mortality

Eight Democratic members of Congress led by Senator Warren (D-Mass) and Lisa Blunt Rochester (D-Del) sent a letter to the Center for Medicare and Medicaid Innovation (CMMI) to request information on the use of alternative payment models (APMs) to tes...

CMMI Hosts Primary Care First Office Hours on Dec. 5

The Centers for Medicare and Medicaid Innovation (CMMI) will host office hours on the recently announced Primary Care First Model. Representatives from CMMI team will provide an overview of the model and answer questions from the audience on the mode...

CMS Begins Accepting Applications for Primary Care and Kidney Care Payment Models

On October 24, 2019, the Center for Medicare and Medicaid Innovation (CMMI) posted request for applications (RFAs) for the Primary Care First (PCF) and Kidney Care Choices (KCC) Models. The models were announced earlier in 2019. The applications are ...

CMS Releases Evaluation Reports on Payment Models Including MSSP, CPC+, ESRD CEC Model, and Dual Eligibles

MSSP Saves $739.4 Million in 2018 Recently released performance results show that the Medicare Shared Savings Program (MSSP) generated $739.4 million in total net savings across 548 accountable care organizations (ACOs) in 2018. In a Health ...

Innovation Center Solicits Proposals from Third Party Payers on Maryland Total Cost of Care Model

The Center for Medicare and Medicaid Innovation (Innovation Center) is collaborating with the state of Maryland to implement the Maryland Total Cost of Care (TCOC) Model. The model, which sets a per capita limit on Medicare total cost of care in Mary...

ET3 RFA Deadline Extended

The Center for Medicare and Medicaid Innovation announced the Emergency Triage, Treat, and Transport (ET3) Model request for applications (RFA) deadline has been extended until October 5, 2019. The application is available here. ET3 aims to reduce c...

ACO Investment Model Second Annual Report Posted

The Center for Medicare and Medicaid Innovation (the Innovation Center) posted the second annual report for the Accountable Care Organization (ACO) Investment Model (AIM). This investment model was developed in response to concerns from providers abo...

Comprehensive ESRD Care Model: Year 2 Report

The Centers for Medicare and Medicaid Innovation posted the second annual report for the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model. The report found that there was a 4% reduction in the number of beneficiaries hospitalized and a 1...

ET3 Model FAQs and Application

The Centers for Medicare and Medicaid Innovation (Innovation Center) updated the Emergency Triage, Treat, and Transport (ET3) Model frequently asked questions resource. The updated questions can be found here. Additionally, the Innovation Center is ...

Final Evaluation Report: GNE Demonstration

The Centers for Medicare and Medicaid Innovation (Innovation Center) posted the final report evaluating the Graduate Nurse Education (GNE) Demonstration. An overview of the major findings can be found here. This demonstration provided payments to fi...

Primary Care First Model Options Webinar Slides Posted

Slides from recent webinars on the Primary Care First Model Options are now available.

  • Primary Care First: Payment Webinar, hosted June 27, 2019, slides are available here
  • Primary Care Fist: Seriously Ill Population Payment Mode...

    ET3 Model Webinar Slides Posted

    The Emergency Triage, Treat, and Transport (ET3) team hosted a webinar on August 8, 2019, providing an overview of the application portal. The team provided guidance for ambulance suppliers and providers to submit a completed application to participa...

    CMS Hosts a Webinar on the Voluntary Kidney Models

    The Centers for Medicare & Medicaid Innovation Center will host a webinar to provide details on the Kidney Care First (KCF) and the Comprehensive Kidney Care Contracting (CKCC) models. Both models build upon the existing structure of the Comprehe...

    Innovation Center Hosts Radiation Oncology Model Listening Session

    The Centers for Medicare & Medicaid Innovation Center will host a webinar on the proposed Radiation Oncology (RO) Model. During this listening session, CMS experts will briefly cover the major provisions from the proposed rule and address clarify...

    CMS Discontinues MAQI Demonstration

    The Centers for Medicare and Medicaid Services (CMS) announced the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration will be discontinued due to the low rates of participation. Therefore, CMS will not be accepting appli...

    New Case Study Published for the Accountable Health Communities Model

    The Accountable Health Communities (AHC) Model tests whether the health-related social needs of Medicare and Medicaid beneficiaries will impact health care costs and reduce health care utilization. The Centers for Medicare and Medicaid Services just...

    White House Will Nominate Adam Boehler for International Development Finance Corporation

    The White House announced that the current head of the Center for Medicare and Medicaid Innovation (Innovation Center), Adam Boehler, will be nominated to serve as the chief executive officer of the US International Development Finance Corporation. M...

    CY 2020 MA VBID Marketing and Communications Guidelines Posted

    The Center for Medicare and Medicaid Innovation (Innovation Center) posted CY 2020 marketing and communications guidelines for the Medicare Advantage (MA) Value-Based Insurance Design (VBID) model. This document provides communications and marketing ...

    BPCI Advanced Second Cohort Application Period Started

    On October 1, 2018, the first cohort of Participants in the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model started participation in the Center for Medicare and Medicaid Innovation’s Advanced Alternative Payment model. The Cent...

    CMS Innovation Center Report to Congress

    The Centers for Medicare and Medicaid Services Innovation Center released its 2018 Report to Congress.  The report provides an overview of 36 models and initiatives that run between October 1, 2016 and September 30, 2018.  The report includes links...

    CMS Presents Primary Care First and Direct Contracting Informational Sessions

    The Centers for Medicare and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (Innovation Center) will be holding informational sessions on recently announced payment models. CMS announced two new pathways encompassing five...

    ACO Application Opens for Medicare Shared Savings Program

    The Centers for Medicare and Medicaid Services (CMS) announced the Notice of Intent to Apply (NOIA) and application cycle dates for a January 1, 2020, start date for the Medicare Shared Savings Program Pathways to Success. Beginning June 11, 2019, CM...

    Innovation Center Holds Second Webinar on InCK Funding Opportunity

    The Center for Medicare and Medicaid Innovation is holding its second webinar on the Integrated Care for Kids (InCK) Model Notice of Funding Opportunity (NOFO) on April 18, 2019, at 2:30 pm ET. This webinar will include an overview of the model, its ...

    Innovation Center Hosts Webinar on MOM Model Application Process

    The Center for Medicare and Medicaid Innovation is holding a webinar on April 4, from 2:45 to 4 pm ET, to review the Maternal Opioid Misuse (MOM) model Notice of Funding Opportunity and Grants.gov application process. The same material from the webi...

    Innovation Center Releases Information on APM Component of InCK Model

    The Center for Medicare and Medicaid Innovation has released slides and a webinar recording on the Alternative Payment Model (APM) component of the Integrated Care for Kids (InCK) Model. The webinar features an APM overview, guidelines, requirements ...

    Year 1 Evaluation of Million Hearts Program Positive but with Substantial Room for Improvement

    Launched by the Centers for Medicare and Medicaid Services (CMS) in 2017, the Million Hearts Cardiovascular Disease (CVD) Risk Reduction Model (Million Heart Model) tests whether providing targeted incentives to health care providers to reduce CVD ri...

    CMS Hosts Webinar on the VBID and Part D Payment Modernization Model

    The Center for Medicare and Medicaid Innovation is holding a webinar on February 28, 2019, at 3 pm ET. It will provide a deep dive into the application processes and information about model designs for the Part D Payment Modernization Model and the M...

    Innovation Center Hosts Webinar on MOM Model Application Process

    The Center for Medicare and Medicaid Innovation is holding a webinar on February 21 from 2:00 to 3:15 pm ET to review the Maternal Opioid Misuse (MOM) model Notice of Funding Opportunity and Grants.gov application process. State Medicaid agencies an...

    Maternal Opioid Misuse Model Funding Opportunity Announced

    The Centers for Medicare and Medicaid Services Center for Medicare and Medicaid Innovation (Innovation Center) will execute up to 12 cooperative agreements with states whose Medicaid agencies will implement the Maternal Opioid Misuse (MOM) model with...

    BPCI Update: Quality Measures Factsheets Now Available

    The Centers for Medicare and Medicaid Services Center for Medicare and Medicaid Innovation (Innovation Center) has posted factsheets for the seven quality measures selected for use in the Bundled Payments for Care Improvement Advanced (BPCI Advanced)...

    InCK Model: Notice of Funding Opportunity and Webinar on February 19

    The Centers for Medicare and Medicaid Services Center for Medicare and Medicaid Innovation (Innovation Center) announced a funding opportunity for the Integrated Care for Kids (InCK) model. The model is a child-centered local service delivery and sta...

    Independence at Home: Year Three Evaluation Factsheet Posted

    The Centers for Medicare and Medicaid Services Center for Medicare and Medicaid Innovation (Innovation Center) has posted a factsheet on year three evaluation results for the Independence at Home Demonstration. Under this program, the Innovation Cent...

    CMS Posts Applications for the MA VBID Model

    On February 1, 2019, the Centers for Medicare and Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) posted Request for Applications (RFA) and actuarial guidance documents for the recently announced Medicare Advan...

    McDermottPlus Launches 2019 CMS/CMMI Payment Model Tracker

    The Centers for Medicare and Medicaid Services (CMS) and its Innovation Center support the development and testing of innovative health care payment and delivery models. The Innovation Center is expected to announce several new models in 2019 – at ...

    CMS Releases Updates to MA VBID Demonstration

    On Friday, January 18, 2019, the Centers for Medicare and Medicaid Services (CMS) Innovation Center released updates to the Medicare Advantage (MA) Value-Based Insurance Design Demonstration (VBID). The MA VBID model began in a limited number of sta...

    CMS Announces New Part D Payment Modernization Model

    On Friday, January 18, 2019, the Centers for Medicare and Medicaid Services (CMS) Innovation Center released a new Part D Payment Modernization Model. Last year, the Trump Administration released the President’s Blueprint to Lower Drug Prices and ...

    PTAC Updates Submission Guidelines and CMMI Releases Model Development and Testing Factsheet

    The Physician-Focused Payment Model Technical Advisory Committee (PTAC) released updated submission guidelines. Established by the Medicare Access and CHIP Reauthorization Act (MACRA), PTAC reviews proposals submitted by the public on physician payme...

    House Ways and Means Bipartisan Letter on CMMI

    US House of Representatives Ways and Means Committee Chairman Richard Neal (D-MA) and Ranking Member Kevin Brady (R-TX) sent a letter to the Centers for Medicare and Medicaid Services Administrator Seema Verma urging greater transparency for the Cent...