Today HHS Secretary Sylvia M. Burwell announced ambitious plans to move from “volume to value in Medicare payments” by accelerating the share of Medicare fee-for-service (FFS) payments that are tied to quality and value and reimbursed through alternative payment models. The first goal in the initiative is for 30% of Medicare provider payments to be
medical home
HHS Launches Second Round of State Innovation Models Initiative
By Debra A. McCurdy on
On May 22, 2014, CMS announced the second round of funding under the State Innovation Models Initiative. This initiative was announced in 2013 to support state design and testing of multi-payer payment and delivery models — such as accountable care organizations, accountable care communities, patient centered medical homes and bundled payments — intended to…
CMS Letter to States on Quality Considerations for Medicaid and CHIP Integrated Care Models
By Debra A. McCurdy on
CMS has posted a November 22, 2013 letter to state health officials on “Quality Considerations for Medicaid and CHIP Programs,” the fourth in a series of guidance documents intended to assist states with designing and implementing integrated care models, such as medical/health homes, accountable care organizations, and managed care. The latest letter provides…
CMS Guidance on Medicaid Integrated Care Models
By Debra A. McCurdy on
On July 10, 2012, CMS released two letters to state Medicaid agencies on “Developing and Implementing Integrated Care Models in Medicaid Programs.” The first letter describes the concept of “Integrated Care Models,” which could include medical/health homes, accountable care organizations (ACOs), ACO-like models, and other arrangements that emphasize person-centered, continuous, coordinated, and comprehensive…
CMS Announces Participants in Federally Qualified Health Center (FQHC) Advanced Primary Care Practice Demonstration
By Debra A. McCurdy on
On October 24, 2011, CMS announced the 500 FQHCs that have been selected in 44 states to participate in the Medicare FQHC Advanced Primary Care Practice demonstration project. This initiative, which was authorized under the ACA, will test how the advanced primary care practice model (also called patient-centered medical home) can improve quality of care,…