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CMMI

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CMMI

  1. 1. REQUEST: Fundingthrough the Centersfor Medicare and MedicaidInnovation(CMMI) to provide for the testingof a payment and service deliverymodel that includeshealtheducationinitiativesfor reducinghealth disparities,consistentwiththe cost and quality criteriaotherwise applicable to the testingof modelsundersuch section. CMMI was established in the Affordable Care Act to test innovative payment and delivery system models that show promise of maintaining or improving the quality of care or slow the rate of growth in program costs in Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). The Secretary of HHS acting through the Centersfor Medicare and Medicaid Innovation under section 1115A of the Social Security Act (42 U.S.C. 1315a) shall provide for the testing of a payment and service delivery model that includes health education initiatives for reducing health disparities in all populations, consistent with the cost and quality criteria otherwise applicable to the testing of models under such section. Center for Medicare and Medicaid Innovation The Center for Medicare and Medicaid Innovation (CMMI) is an organization of the United States Government under the Centers for Medicareand Medicaid Services (CMS) that was established in the Affordable CareAct to test innovativepayment and delivery system models that show promisefor maintainingor improvingthe quality in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP). Three goals of CMMI Three goals of CMMI are to slowthe rate of growth in program costs,give priority to twenty models specified in the law,includingmedical homes,all- payer payment reform, and arrangements that transition fromfee-for-service reimbursement to global fees and salary-based payment, and overcome inertia in the healthcaresystem by creatinga mechanismfor the diffusion of successful pilotprograms. Implementingthe StudiesNationwide Every test of a new servicedelivery or payment model developed by CMMI also includes a plan of action to ensure that the lessons learned and best practices identified duringthe test can be spread as widely and effectively as possibleto support improvement for both CMS and the health care system at large. CMMI has also created learning collaboratives for providers in our models to promote broad and rapid dissemination of evidence and best practices thathave the potential to deliver higher quality and lower costcare for Medicare, Medicaid and CHIP beneficiaries.Evaluation results are shared with participatingproviders on an
  2. 2. ongoing basis in order to promote more rapid learning.

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