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Center for Medicare and Medicaid Innovation must implement payment reforms rapidly
Date:6/7/2010

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
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  • Contact: Mary Mahon
    mm@cmwf.org
    212-606-3853
    Commonwealth Fund
    Source:Eurekalert

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