The CMS has officially established the Center for Medicare and Medicaid Innovation, which is intended to study ways of delivering care and paying providers that can save money for the Medicare and Medicaid programs and improve quality.
CMS launches center for innovation
Created in this year's Patient Protection and Affordable Care Act, the center will consult healthcare stakeholders nationwide—including hospitals, physicians, consumers, payers, employers, states and federal agencies—to create partnerships and also receive feedback on its operations.
“The center will identify and test care models that provide beneficiaries with a seamless care experience, better health and lower costs,” physician Richard Gilfillan, the acting director for the new center, said in a news release. “By working together with innovative and committed providers, we can create a system that works better for everyone,” he added. “We want to identify, validate and scale models that have been effective in achieving better outcomes and improving quality of care, but may be relatively unknown.”
The agency also announced several programs to improve primary care in the U.S. The agency named eight states to participate in a demonstration project that will evaluate the effectiveness of physicians and other healthcare professionals working in a more integrated way and receiving coordinated payment from Medicare, Medicaid and private health plans. Maine, Michigan, Minnesota, New York, North Carolina, Pennsylvania, Rhode Island and Vermont will participate in the program, which the CMS is calling the Multi-Payer Advanced Primary Care Practice Demonstration. It will include about 1,200 medical homes that treat up to 1 million Medicare beneficiaries.
In addition, the agency announced the Federally Qualified Health Center Advanced Primary Care Practice Demonstration to evaluate physicians and other health professionals working in teams to treat low-income patients at community health centers. The demonstration will be conducted in up to 500 federally qualified health centers and provide care for up to 195,000 with Medicare. And the new Medicaid Health Home State Plan option will allow Medicaid enrollees with at least two chronic conditions to designate a provider as a “health home” to coordinate treatments. States that implement this option will receive more federal support to promote these “health homes” in their Medicaid programs, according to the CMS.
The CMS also said there will soon be demonstration projects that examine programs that integrate care for individuals who receive both Medicare and Medicaid, or “dual eligibles.” The CMS said it will award up to $1 million each to 15 state programs, and states can begin applying for resources in December.
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