Noteworthy News

Archive for Center for Medicare and Medicaid Innovation

 

Medicare’s Primary Care Demonstration Shows Promise

Medicare’s Comprehensive Primary Care Initiative produced encouraging results during its second year: 95 percent of the participating medical practices met their quality requirements and four out of the seven participating regions generated nearly $58 million in savings and will share those savings with Medicare. In addition, the 481 participating medical practices reduced their overall admissions and readmissions rates, scores well on patient satisfaction surveys and quality measures, and surpassed national benchmarks in a number of areas, including preventive health measures. The program will expand in 2017 with 14 new regions participating in Comprehensive Primary Care Plus, an enhanced version of [&hellip

New ACO Model Targets Social Determinants of Health

The federal government is altering a previously announced accountable care organization model to help it target the social determinants of health of the patients it serves. The Accountable Health Communities model, launched by the Centers for Medicare & Medicaid Services and the Center for Medicare and Medicaid Innovation in January, has been modified to target “community-dwelling Medicare and Medicaid beneficiaries with unmet health-related social needs.” According to a CMS fact sheet, The foundation of the Accountable Health Communities Model is universal, comprehensive screening for health-related social needs of community-dwelling Medicare, Medicaid, and dual-eligible beneficiaries accessing health care at participating clinical [&hellip

CMS Demonstration to Tie Medical, Service Needs

A new federal demonstration program will attempt to help low-income Medicare and Medicaid recipients gain access to services that ultimately will improve their health. The Accountable Health Communities project, developed by the Center for Medicare and Medicaid Innovation and launched by the Centers for Medicare & Medicaid Services (CMS), is a $157 million demonstration program that … aims to identify and address beneficiaries’ health-related social needs in at least the following core areas: Housing instability and quality, Food insecurity, Utility needs, Interpersonal violence, and Transportation needs beyond medical transportation. The federal government intends to provide grants of up to $4.5 [&hellip

NAUH Comments on Proposed Joint Replacement Program

Earlier this summer the Centers for Medicare & Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation proposed a new “Comprehensive Care for Joint Replacements Model” (CCJR) program designed to foster better coordination of services and efficiency in the delivery of knee and hip replacements. In a formal comment letter to CMS, the National Association of Urban Hospitals expressed support for the concept underlying the program but expressed concern about five specific aspects of the proposed program: the program’s savings assumptions the assignment of virtually all risk to hospitals the breadth of services for which hospitals would be [&hellip

Medicare Unveils New ACO

The federal Center for Medicare and Medicaid Innovation is launching a new accountable care organization (ACO) model through which providers can join together to serve Medicare patients. The “Next Generation ACO” seeks to build on the experience, insight, and feedback gained through the Medicare Shared Savings Program and the Pioneer ACO model and give providers more tools for managing care and resources while also enabling them to take on more financial risk and earn greater financial rewards for doing so successfully. A broader objective is to move Medicare closer to its stated goal of paying most providers based on the [&hellip

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