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History	of	Value-Based	Programs	in	Medicare	
Guiding	Principles	
•  Choice	and	compe--on	
in	the	marketplace	
	
•  Provider	choice	and	
incen-ves	
	
•  Pa-ent-centered	care	
	
•  Benefit	design	and	price	
transparency	
	
•  Transparent	model	
design	and	evalua-on	
	
•  Small	scale	tes-ng
2
New	Direc=on	-	CMS	Innova=on	Center	Request	for	Informa=on	(RFI)	
The	RFI	seeks	broad	input	related	to	a	new	direc-on	for	the	CMS	
Innova-on	Center	that	will	promote	pa=ent-centered	care	and	test	
market-driven	reforms	that	empower	beneficiaries	as	consumers,	
provide	price	transparency,	increase	choices	and	compe--on	to	drive	
quality,	and	improve	outcomes.		
	
The	administra-on	plans	to	launch	models	in	several	focus	areas:	
	
Guiding	Principles	
•  Choice	and	compe--on	
in	the	marketplace	
	
•  Provider	choice	and	
incen-ves	
	
•  Pa-ent-centered	care	
	
•  Benefit	design	and	price	
transparency	
	
•  Transparent	model	
design	and	evalua-on	
	
•  Small	scale	tes-ng	
	
•  Expanded	Opportuni-es	for	Par-cipa-on	in	Advanced	APMs	
•  Consumer-Directed	Care	&	Market-Based	Innova-on	Models	
•  Physician	Specialty	Models	
•  Physician-Focused	Payment	Model	Technical	Advisory	
CommiNee	(PTAC)	Recommended	Models	
•  Prescrip-on	Drug	Models	
•  Medicare	Advantage	(MA)	Innova-on	Models	
•  State-Based	and	Local	Innova-on,	including	Medicaid-focused	
Models	
•  Mental	and	Behavioral	Health	Models	
•  Program	Integrity	
Submit	
feedback		
&	ideas	
@ innova=on.cms.gov/ini=a=ves/direc=on/	through	November	20,	2017

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