The CMS Innovation Center Moved the Needle on Value

We should keep this "national treasure" in case of ACA repeal

As Republicans in Congress threaten to repeal the Affordable Care Act, we keep hearing that value-based care is safe. But how safe can it be if we also dismantle the organization behind CMS’ progress and momentum? The Center for Medicare and Medicaid Innovation (CMMI) was created under the Affordable Care Act and is tasked with developing and testing new payment and service delivery models, assessing results, and working with stakeholders to develop additional models. Free from direct Congressional oversight, the CMMI has been remarkably agile, unique in its ability to quickly make changes based on results and feedback from patients and providers.

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The Case for Mandatory Bundled Payments

Why new HHS secretary Tom Price should not ignore the study in this month's Journal of the American Medical Association

Under president elect Donald Trump, Republicans in Congress are vowing to repeal and replace the Affordable Care Act, effectively slowing down the shift to value-based reimbursement. The Center for Medicare and Medicaid Innovation, created under the ACA, is responsible for much of the industry momentum towards value – and for millions of dollars in annual savings. A new study in the Journal of the American Medical Association analyzed Medicare claims data to reveal that the CMMI’s mandatory bundled payment program for joint replacement, CJR, saved participating hospitals 8% on average and sometimes much more, without sacrificing quality of care. These numbers are significant; if every hospital in America were mandated to participate, the total savings would increase to an estimated $2 billion. Encouraged by CJR’s success, CMS finalized new mandatory bundles for cardiac care in late 2016 and expanded CJR to include additional procedures.

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