Navigation Links
Center for Medicare and Medicaid Innovation must implement payment reforms rapidly

New York, NY, June 8, 2010The new Center for Medicare and Medicaid Innovation (CMI) must be inclusive and flexible in developing and implementing payment initiatives, continuously monitor their impact, and rapidly disseminate them if they appear to be successful, in order to realize the potential for improved health care delivery and reduced spending, according to a new Health Affairs article by Commonwealth Fund researchers.

In "The Center for Medicare and Medicaid Innovation Will Be Central to Health Reform's Success," Stuart Guterman, Karen Davis, Kristof Stremikis, and Heather Drake lay out a series of recommendations for the CMI which, as described in the Affordable Care Act, is meant to develop innovative ways of providing and paying for health care that have the potential to reduce costs while preserving or enhancing health care quality.

The CMI, which will begin full-scale operations as part of the Centers for Medicare and Medicaid Services (CMS) in 2011, will be responsible for developing at least 18 reform models specified in the new law, including: patient-centered medical homes, promotion of care coordination through salary-based payment; community-based health teams to support small-practice medical homes; use of health information technology to coordinate care for the chronically ill, and salary-based payment for physicians.

"Changing the way we pay for and provide health care to reward high-quality, efficient care is an essential step toward a high performance health system," said Commonwealth Fund President Karen Davis. "If health reform is to succeed in improving care and curbing spending, this new center must function like a research and development laboratory for health care delivery, designed to discover, support, and disseminate the best and most innovative ideas."

The authors recommend that the CMI:

  • Adopt a nimble "innovation with evidence development" approach in which new programs are implemented and continued as long as they show they are improving quality and value, and achieving desired outcomes. This would represent a significant shift from the current process for developing, testing, and evaluating new programs, which often is lengthy and cumbersome.
  • Include among its pilots an array of health care payment models, with the foremost goal being that payments are tied to high quality, efficient care that is patient-centered.
  • Include private sector payers and public health insurance programs including Medicare and Medicaid in pilot initiativesthe broader the initiative, the greater the impact.
  • Be open to payment reform approaches led by states or private sector entities, taking into account geographic differences in health care and the environments in which care is provided.
  • Ensure transparency by developing explicit criteria for selecting new programs and their participants and putting in place a mechanism to inform policymakers and interested parties about ongoing and planned projects.
  • Guarantee there are systems in place to continuously monitor and identify pilots' successes and failures.
  • Be a partner in the success of pilots, rather than a "hands-off" evaluator, providing regular feedback and technical assistance to pilot participants when needed.
  • Share information and findings with the new Independent Payment Advisory Board, which will be up and running in 2014 and is tasked with reducing Medicare spending growth, to assure that its recommendations designed to control spending are based on the best available information about ongoing and promising initiatives.

A related report from The Commonwealth Fund Commission on a High Performance Health System was also released today. Developing Innovative Payment Approaches: The Path To High Performance describes several payment innovations that the CMI should introduce to reward more integrated care and achieve better quality and greater value, such as medical homes, accountable care organizations, and bundled payments. Equally important to the success of theses strategies, the report says, will be the scope of the reforms. The authors say that pilots should not be limited to Medicare but should include Medicaid and other public programs, and private payers, in order to magnify the effects of incentives across different payers, reduce administrative burdens, and address unwarranted variation among different payers.

"The new Innovation Center offers CMS an opportunity to be flexible in rapidly spreading promising new pilot programs," said Stuart Guterman, Assistant Vice President for the Commonwealth Fund's Program on Payment System Reform and lead author of both reports. "By developing this center to be quick, responsive, and engaged, CMS can go a long way toward ensuring that the health care system sees the savings health care reform has the capacity to deliver."


Contact: Mary Mahon
Commonwealth Fund

Related medicine news :

1. BABYCENTER Partners In Promoting Safe And Healthy Pregnancies Through Text4baby
2. Carol Milgard Breast Center Awarded Highest Government Rating for Mammography Sites
3. Grubb & Ellis Healthcare REIT II Enters Agreement to Acquire Parkway Medical Center near Cleveland
4. American Red Cross and Other U.S. Blood Centers Send Blood to Haiti
5. Penn State Hershey Medical Center to Provide Complimentary AT&T Wi-Fi in Patient Rooms
6. Boys & Girls Clubs of Miami-Dade's Hank Kline Facility Opens the Alex Rodriguez Educational Center
7. Minnesota Vikings Team With Memorial Blood Centers Again for Annual Blood Drive
8. Patient-centered e-health is topic for half-day conference
9. American Association of Poison Control Centers: Treat Poinsettias and Mistletoe with Respect Rather Than Fear This Holiday Season
10. Kool Smiles Offers Free Toothbrushes and Education to Day Care Centers Affected by Massachusetts Initiative Supporting Childrens Oral Care
11. Sacred Heart Health Systems Utilizes Call Recording to Enhance Quality Process in Call Center
Post Your Comments:
(Date:10/13/2015)... ... October 13, 2015 , ... Purdue ... in the Life Sciences Initiative aimed at enhancing Purdue’s life sciences research and ... “Ever True” capital campaign. , The investment will result in cohesive efforts across ...
(Date:10/13/2015)... ... 2015 , ... Sir Grout of Greater Boston donated an expansive, seven room ... McDonald House Charities® (RMHC®). This donation was made in an effort to give back ... its inception. , “We believe strongly in the Ronald McDonald House Charities, and they ...
(Date:10/13/2015)... ... October 13, 2015 , ... ... in the United States, today announced the release of its limited edition holiday ... Cranberry Cocktail Agua Fresca. All feature the unique flavor combinations and delicious taste ...
(Date:10/13/2015)... ... , ... According to an article published October 5th by the ... lose weight with a bariatric procedure are much less likely to develop endometrial cancer, ... anywhere from 40 to 50 percent of all endometrial cancer cases are caused by ...
(Date:10/13/2015)... , ... October 13, 2015 , ... Symposium Chairman, Dr. ... 19th annual Dallas Cosmetic Symposium to be held March 2nd and 3rd, 2016. The ... afterwards, draws plastic surgeons and cosmetic physicians from around the world. , Key topics ...
Breaking Medicine News(10 mins):
(Date:10/13/2015)... SHANGHAI , Oct. 13, 2015 ... R&D capability and technology platform company serving the ... that it has launched a mobile version of ... allow researchers to access oncology models and data ... clients anywhere and at any time to identify ...
(Date:10/13/2015)... , Oct. 13, 2015  The ... Harvard University today announced the launch of ... Ultivue will introduce imaging reagents providing ... to those of expensive specialized instruments. The ... Harvard,s Office of Technology Development (OTD) ...
(Date:10/13/2015)... , October 13, 2015 --> ... ,What can be expected from the Asthma and COPD Therapies ... rates? Visiongain ,s brand new report shows you potential ... ,  ,Our 309-page report provides 260 tables, charts, and graphs. ... future market prospects. Our new study lets you assess forecasted ...
Breaking Medicine Technology: