The document provides an overview of the Comprehensive Primary Care Initiative (CPC Initiative) which aims to establish a new model for purchasing and delivering comprehensive primary care. It discusses the goals of better health outcomes, better care experiences, and lower costs. Practices will receive care management fees and have opportunities for shared savings. They will be required to meet milestones related to care management, access, patient experience, use of data, care coordination, and meaningful use of EHRs. The webinar invites primary care practices to apply and outlines the application process and requirements.
The Next Generation ACO Model team hosted an open door forum on Tuesday, March 28, 2017. The Next Generation Model features three payment rule waivers, referred to as benefit enhancements. This open door forum provided an overview of the Model’s three benefit enhancements.
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CMS Innovation Center
http://innovation.cms.gov
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The CMS Innovation Center held the second in a series of webinars for potential applicants to Health Care Innovation Awards Round Two. The webinar held Wednesday, June 12, 2013 1:30pm – 3:00pm EDT, focused specifically on the first two of the four innovation categories.
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CMS Innovations
http://innovations.cms.gov
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The first in a series of Accountable Health Communities Model webinars was held on Thursday, January 21, 2016 from 2:00 – 3:30pm EST. The webinar focused on an overview of the model and application requirements. A repeat of the webinar covering the same topic was held Wednesday, January 27, 2016 from 3:00– 4:30pm EST.
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http://innovation.cms.gov
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The CMS Innovation Center hosted a Beneficiary Engagement and Incentives: Direct Decision Support (DDS) Model webinar regarding the model overview and Letter of Intent (LOI) process on Thursday, January 12, 2017 from 2:00 - 3:00 p.m. EST. At this event, attendees learned more about the DDS model, eligibility criteria, and LOI requirements.
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CMS Innovation Center
http://innovation.cms.gov
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CMS Innovation Center, Center for Medicaid and CHIP Services staff will be hosting a webinar that will discuss how applicants can work with States and the role of States in the Strong Start funding opportunity. A series of follow up webinars will provide more in-depth information about other aspects of this initiative.
More at: http://innovations.cms.gov/resources/Strong-Start-Webinar-State-Partnerships.html
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CMS Innovation Center
http://innovation.cms.gov
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The CMS Innovation Center hosted a webinar on Wednesday April 9, 2014 to provide an overview of the Medicare Care Choices Model and the application process. Subject matter experts from the CMS Innovation Center provided details and answered questions.
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CMS Innovation Center
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February 9, 2012
These slides are designed for Post-Acute Care (PAC) providers seeking additional information about how Model 3 works and a better understanding of the opportunities for PAC providers within the Bundled Payment for Care Improvement (BPCI) initiative to achieve better care, better health and lower costs for their patients through care redesign.
More at: http://innovations.cms.gov/resources/Bundled-Payments-Model-3-Deep-Dive.html
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CMS Innovation Center
http://innovation.cms.gov
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The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is an initiative designed to improve care for people living in nursing facilities who are enrolled in Medicare and Medicaid.
Through this initiative, CMS will partner with independent organizations to improve care for long-stay nursing facility residents. These organizations will collaborate with nursing facilities and States to provide coordinated, person-centered care with the goal of reducing avoidable hospital stays.
In this webinar, staff from the Medicare-Medicaid Coordination Office (MMCO) and the CMS Innovation Center will provide an overview of the initiative, and offer information about how to apply.
More at: http://innovations.cms.gov/resources/Duals_rahnfr_apply.html
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CMS Innovation
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The Next Generation ACO Model team hosted an open door forum on Tuesday, March 28, 2017. The Next Generation Model features three payment rule waivers, referred to as benefit enhancements. This open door forum provided an overview of the Model’s three benefit enhancements.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
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The CMS Innovation Center held the second in a series of webinars for potential applicants to Health Care Innovation Awards Round Two. The webinar held Wednesday, June 12, 2013 1:30pm – 3:00pm EDT, focused specifically on the first two of the four innovation categories.
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CMS Innovations
http://innovations.cms.gov
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CMS Privacy Policy
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The first in a series of Accountable Health Communities Model webinars was held on Thursday, January 21, 2016 from 2:00 – 3:30pm EST. The webinar focused on an overview of the model and application requirements. A repeat of the webinar covering the same topic was held Wednesday, January 27, 2016 from 3:00– 4:30pm EST.
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CMS Innovation Center
http://innovation.cms.gov
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The CMS Innovation Center hosted a Beneficiary Engagement and Incentives: Direct Decision Support (DDS) Model webinar regarding the model overview and Letter of Intent (LOI) process on Thursday, January 12, 2017 from 2:00 - 3:00 p.m. EST. At this event, attendees learned more about the DDS model, eligibility criteria, and LOI requirements.
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CMS Innovation Center
http://innovation.cms.gov
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CMS Innovation Center, Center for Medicaid and CHIP Services staff will be hosting a webinar that will discuss how applicants can work with States and the role of States in the Strong Start funding opportunity. A series of follow up webinars will provide more in-depth information about other aspects of this initiative.
More at: http://innovations.cms.gov/resources/Strong-Start-Webinar-State-Partnerships.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
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The CMS Innovation Center hosted a webinar on Wednesday April 9, 2014 to provide an overview of the Medicare Care Choices Model and the application process. Subject matter experts from the CMS Innovation Center provided details and answered questions.
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CMS Innovation Center
http://innovation.cms.gov
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February 9, 2012
These slides are designed for Post-Acute Care (PAC) providers seeking additional information about how Model 3 works and a better understanding of the opportunities for PAC providers within the Bundled Payment for Care Improvement (BPCI) initiative to achieve better care, better health and lower costs for their patients through care redesign.
More at: http://innovations.cms.gov/resources/Bundled-Payments-Model-3-Deep-Dive.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is an initiative designed to improve care for people living in nursing facilities who are enrolled in Medicare and Medicaid.
Through this initiative, CMS will partner with independent organizations to improve care for long-stay nursing facility residents. These organizations will collaborate with nursing facilities and States to provide coordinated, person-centered care with the goal of reducing avoidable hospital stays.
In this webinar, staff from the Medicare-Medicaid Coordination Office (MMCO) and the CMS Innovation Center will provide an overview of the initiative, and offer information about how to apply.
More at: http://innovations.cms.gov/resources/Duals_rahnfr_apply.html
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CMS Innovation
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted a webinar to discuss various aspects of the Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Incentive Payment Model; and changes to the Comprehensive Care for Joint Replacement Model final rule on Wednesday, February 22, 2017, from 12:00 p.m. – 1:00 p.m. EST. The final rule was displayed at the Federal Register on December 20, 2016 and is effective on February 18, 2017.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
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Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Wednesday, April 27, 2016. During this webinar Model team members provided an overview of the model specifically for interested payers.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Primary Care First Model Options team hosted a payment webinar on Thursday, June 27, 2019 from Noon - 1:00 p.m. EDT. Topics discussed included what the Primary Care First Total Primary Care Payment and the quality measures used to calculate the Performance-Based Adjustment, beneficiary attribution, policies on overlap with other CMS models, and the timeline for receiving model payments.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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In this Thursday, July 12, 2012 webinar, presentations focused on learning more about program requirements, preferences, and other keys to success from CMS Innovation Center staff and communities currently participating in the CCTP program. The final CCTP review panel for 2012 convened on September 20, 2012. Applications must have been received by September 3rd to be considered for this review. Future panels may be announced as funding permits.
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CMS Innovation Center
http://innovation.cms.gov
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Staff from the CMS Innovation Center and the Center for Medicare and CHIP Services hosted a webinar that provided an overview of the Strong Start initiative and the application process and requirements for the Medicaid funding opportunity.
More at: http://innovations.cms.gov/resources/StrongStart_overview.html
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CMS Innovation Center
http://innovation.cms.gov
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The Center for Medicare & Medicaid Services (CMS) recently announced 23 additional participants for the Community-based Care Transitions Program (CCTP). These participants will join seven other community-based organizations already working with local hospitals and other health care and social service providers to support high-risk Medicare patients in maintaining the healing process as they transition from hospital stays to home, a nursing home, or other care setting.
This webinar will allow stakeholders to hear directly from some of the newly selected sites. CMS Innovation Center staff will provide additional information about the program and will be available to answer questions.
More at: http://innovations.cms.gov/resources/CCTP-RdcReadmiss.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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The CMS Innovation Center offered a kickoff webinar event for the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model on Tuesday, May 31, 2016 from 4:00–5 p.m. EDT. This webinar focused on model objectives, terms of the award, eligibility criteria, changes from the first public solicitation and important deadlines. A 20 minute question and answer period followed the presentation.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
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The Center for Medicare and Medicaid Innovation hosted a webinar on Thursday, October 8, 2015. The webinar provided an opportunity to learn more about efforts to solicit public comment on a variety of alternative payment pathways to increase value over volume.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
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The Center for Medicare and Medicaid Innovation released a Request for Information (RFI) in late 2013 entitled the “Evolution of ACO Initiatives at CMS.” These are the first of two batches of responses received by the Center for Medicare and Medicaid Innovation to the RFI.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
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The Maternal Opioid Misuse (MOM) Model team presented a notice of funding opportunity and application review webinar on Thursday, February 21 from 2:00 p.m. to 3:15 p.m. EST.
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CMS Innovation Center
http://innovation.cms.gov
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This Accountable Health Communities Model webinar was held on Wednesday, February 10, 2016 from 3:00 – 4:00pm EST. The webinar focused on the anticipated role of state Medicaid agencies in the model.
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CMS Innovation Center
http://innovation.cms.gov
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The Center for Medicare & Medicaid Innovation hosted an Open Door Forum (ODF) to allow dialysis facilities, nephrologists, other Medicare providers of services, suppliers, and other interested parties to ask questions on the revisions to the Request for Application (RFA) for the Comprehensive End Stage Renal Disease (ESRD) Care Initiative that was released on April 15, 2014.
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CMS Innovation Center
http://innovation.cms.gov
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The CMS Innovation Center hosted a Beneficiary Engagement and Incentives: Shared Decision Making (SDM) Model webinar regarding the model overview and Letter of Intent (LOI) process on Tuesday, January 10, 2017 from 2:00 - 3:00 p.m. EST. At this event, attendees learned more about the SDM model, eligibility criteria, and LOI requirements.
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CMS Innovation Center
http://innovation.cms.gov
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In this July 26, 2012 webinar, CMS Innovation Center staff provided an overview of the State Innovation Models Initiative.
More information can be found at: http://innovations.cms.gov/initiatives/state-innovations/index.html.
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CMS Innovation Center
http://innovation.cms.gov
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As part of a broader partnership, CMMI, the Office of the Assistant Secretary for Health (OASH) and the Administration for Community Living (ACL) are jointly sponsoring a webinar titled, Unleashing the Capabilities of MAOs to Deliver Health Innovation for Older Adults in Underserved Settings on October 7 from 2:30-4:00 PM ET to highlight the emerging, numerous opportunities for MAOs to support beneficiaries in more fully meeting their care needs and goals through novel approaches and services enabled by technology.
The webinar will provide an overview of the data supporting these opportunities and will include a panel of three speakers from payer organizations, each of whom will provide an overview of their experience and results in innovating in the use of technology to address unmet enrollee health needs. Panelists include Mona Siddiqui MD, MPH, Senior Vice President for Enterprise Clinical Strategy and Quality at Humana, who will discuss Humana’s approach to the use of data and predictive modeling to proactively engage and provide care for the highest risk and most vulnerable populations; John Wiecha, Medical Director, Senior Products Division at Point32Health, representing the newly combined organizations of Harvard Pilgrim Health Care and Tufts Health Plan will provide an overview of a recent pilot project to improve dementia care through a digital caregiver support program; and Caesar A. DeLeo, MD, MHSA Vice President & Executive Medical Director Strategic Initiatives, Highmark Health Enterprise Clinical Organization, Highmark BCBS who will discuss Highmark’s experience with telemedicine to approach substance use disorders during the pandemic and results from a five-year data driven program addressing appropriate opiate prescribing through profiling and academic detailing.
The webinar offers attendees the opportunity to gain a better understanding of the evidence and potential of several technology-enabled services in improving access, quality and outcomes of care, including, importantly, for underserved populations and will provide MAOs with insights more broadly on the challenges and solutions in design, implementation and evaluation of innovative and technology-enabled service. MAOs that are considering such innovations who may wish to target the use of technology-enabled and/or other services based on chronic illness and/or Low-Income Subsidy (LIS) status through the VBID Model are encouraged to attend.
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CMS Innovation Center
http://innovation.cms.gov
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The CMS Innovation Center hosted an informational webinar March 11, 2014 on the parameters of Models 2-4 of the Bundled Payments for Care Improvement Initiative. This webinar was geared towards physicians, specialty practices and physician group practices.
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CMS Innovation Center
http://innovation.cms.gov
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This webinar is designed to ensure that all applicants to Models 2-4 of BPCI have a clear understanding of the three different roles an applicant must choose from when applying to this initiative. The applicant roles are linked to the applicant's partner types, as well as to how the applicant decides to partner with these Bundled Payment participating organizations.
More at: http://innovations.cms.gov/resources/Bundled-Payments-Applicant-Roles.html
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CMS Innovations
http://innovations.cms.gov
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The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Thursday, January 30, 2020 to provide information and answer questions about the hospice benefit component recently added to the Value Based Insurance Design (VBID) Model. The Centers for Medicare & Medicaid Services announced in January 2019 that beginning in calendar year 2021, the VBID Model will test including the Medicare hospice benefit in Medicare Advantage.
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CMS Innovation Center
http://innovation.cms.gov
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On Thursday, September 24, 2015, the Medicare Advantage Value-Based Insurance Design Model team hosted a webinar. Attendees received an overview of the model as well an opportunity for questions and answers about the model.
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CMS Innovation Center
http://innovation.cms.gov
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The Part D Enhanced Medication Management (MTM) Model team hosted a webinar on Wednesday, October 21, 2015. Attendees received an introduction to the model and related details.
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CMS Innovation Center
http://innovation.cms.gov
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The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
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CMS Innovation Center
http://innovation.cms.gov
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Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Thursday, April 21, 2016. During this webinar Model team members provided an overview of the model specifically for health IT vendors.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted a webinar to discuss various aspects of the Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Incentive Payment Model; and changes to the Comprehensive Care for Joint Replacement Model final rule on Wednesday, February 22, 2017, from 12:00 p.m. – 1:00 p.m. EST. The final rule was displayed at the Federal Register on December 20, 2016 and is effective on February 18, 2017.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Wednesday, April 27, 2016. During this webinar Model team members provided an overview of the model specifically for interested payers.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Primary Care First Model Options team hosted a payment webinar on Thursday, June 27, 2019 from Noon - 1:00 p.m. EDT. Topics discussed included what the Primary Care First Total Primary Care Payment and the quality measures used to calculate the Performance-Based Adjustment, beneficiary attribution, policies on overlap with other CMS models, and the timeline for receiving model payments.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
In this Thursday, July 12, 2012 webinar, presentations focused on learning more about program requirements, preferences, and other keys to success from CMS Innovation Center staff and communities currently participating in the CCTP program. The final CCTP review panel for 2012 convened on September 20, 2012. Applications must have been received by September 3rd to be considered for this review. Future panels may be announced as funding permits.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Staff from the CMS Innovation Center and the Center for Medicare and CHIP Services hosted a webinar that provided an overview of the Strong Start initiative and the application process and requirements for the Medicaid funding opportunity.
More at: http://innovations.cms.gov/resources/StrongStart_overview.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Services (CMS) recently announced 23 additional participants for the Community-based Care Transitions Program (CCTP). These participants will join seven other community-based organizations already working with local hospitals and other health care and social service providers to support high-risk Medicare patients in maintaining the healing process as they transition from hospital stays to home, a nursing home, or other care setting.
This webinar will allow stakeholders to hear directly from some of the newly selected sites. CMS Innovation Center staff will provide additional information about the program and will be available to answer questions.
More at: http://innovations.cms.gov/resources/CCTP-RdcReadmiss.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
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The CMS Innovation Center offered a kickoff webinar event for the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model on Tuesday, May 31, 2016 from 4:00–5 p.m. EDT. This webinar focused on model objectives, terms of the award, eligibility criteria, changes from the first public solicitation and important deadlines. A 20 minute question and answer period followed the presentation.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare and Medicaid Innovation hosted a webinar on Thursday, October 8, 2015. The webinar provided an opportunity to learn more about efforts to solicit public comment on a variety of alternative payment pathways to increase value over volume.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare and Medicaid Innovation released a Request for Information (RFI) in late 2013 entitled the “Evolution of ACO Initiatives at CMS.” These are the first of two batches of responses received by the Center for Medicare and Medicaid Innovation to the RFI.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Maternal Opioid Misuse (MOM) Model team presented a notice of funding opportunity and application review webinar on Thursday, February 21 from 2:00 p.m. to 3:15 p.m. EST.
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CMS Innovation Center
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This Accountable Health Communities Model webinar was held on Wednesday, February 10, 2016 from 3:00 – 4:00pm EST. The webinar focused on the anticipated role of state Medicaid agencies in the model.
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The Center for Medicare & Medicaid Innovation hosted an Open Door Forum (ODF) to allow dialysis facilities, nephrologists, other Medicare providers of services, suppliers, and other interested parties to ask questions on the revisions to the Request for Application (RFA) for the Comprehensive End Stage Renal Disease (ESRD) Care Initiative that was released on April 15, 2014.
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The CMS Innovation Center hosted a Beneficiary Engagement and Incentives: Shared Decision Making (SDM) Model webinar regarding the model overview and Letter of Intent (LOI) process on Tuesday, January 10, 2017 from 2:00 - 3:00 p.m. EST. At this event, attendees learned more about the SDM model, eligibility criteria, and LOI requirements.
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In this July 26, 2012 webinar, CMS Innovation Center staff provided an overview of the State Innovation Models Initiative.
More information can be found at: http://innovations.cms.gov/initiatives/state-innovations/index.html.
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As part of a broader partnership, CMMI, the Office of the Assistant Secretary for Health (OASH) and the Administration for Community Living (ACL) are jointly sponsoring a webinar titled, Unleashing the Capabilities of MAOs to Deliver Health Innovation for Older Adults in Underserved Settings on October 7 from 2:30-4:00 PM ET to highlight the emerging, numerous opportunities for MAOs to support beneficiaries in more fully meeting their care needs and goals through novel approaches and services enabled by technology.
The webinar will provide an overview of the data supporting these opportunities and will include a panel of three speakers from payer organizations, each of whom will provide an overview of their experience and results in innovating in the use of technology to address unmet enrollee health needs. Panelists include Mona Siddiqui MD, MPH, Senior Vice President for Enterprise Clinical Strategy and Quality at Humana, who will discuss Humana’s approach to the use of data and predictive modeling to proactively engage and provide care for the highest risk and most vulnerable populations; John Wiecha, Medical Director, Senior Products Division at Point32Health, representing the newly combined organizations of Harvard Pilgrim Health Care and Tufts Health Plan will provide an overview of a recent pilot project to improve dementia care through a digital caregiver support program; and Caesar A. DeLeo, MD, MHSA Vice President & Executive Medical Director Strategic Initiatives, Highmark Health Enterprise Clinical Organization, Highmark BCBS who will discuss Highmark’s experience with telemedicine to approach substance use disorders during the pandemic and results from a five-year data driven program addressing appropriate opiate prescribing through profiling and academic detailing.
The webinar offers attendees the opportunity to gain a better understanding of the evidence and potential of several technology-enabled services in improving access, quality and outcomes of care, including, importantly, for underserved populations and will provide MAOs with insights more broadly on the challenges and solutions in design, implementation and evaluation of innovative and technology-enabled service. MAOs that are considering such innovations who may wish to target the use of technology-enabled and/or other services based on chronic illness and/or Low-Income Subsidy (LIS) status through the VBID Model are encouraged to attend.
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The CMS Innovation Center hosted an informational webinar March 11, 2014 on the parameters of Models 2-4 of the Bundled Payments for Care Improvement Initiative. This webinar was geared towards physicians, specialty practices and physician group practices.
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This webinar is designed to ensure that all applicants to Models 2-4 of BPCI have a clear understanding of the three different roles an applicant must choose from when applying to this initiative. The applicant roles are linked to the applicant's partner types, as well as to how the applicant decides to partner with these Bundled Payment participating organizations.
More at: http://innovations.cms.gov/resources/Bundled-Payments-Applicant-Roles.html
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The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Thursday, January 30, 2020 to provide information and answer questions about the hospice benefit component recently added to the Value Based Insurance Design (VBID) Model. The Centers for Medicare & Medicaid Services announced in January 2019 that beginning in calendar year 2021, the VBID Model will test including the Medicare hospice benefit in Medicare Advantage.
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On Thursday, September 24, 2015, the Medicare Advantage Value-Based Insurance Design Model team hosted a webinar. Attendees received an overview of the model as well an opportunity for questions and answers about the model.
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The Part D Enhanced Medication Management (MTM) Model team hosted a webinar on Wednesday, October 21, 2015. Attendees received an introduction to the model and related details.
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The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
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Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Thursday, April 21, 2016. During this webinar Model team members provided an overview of the model specifically for health IT vendors.
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The State Innovation Models initiative is a competitive funding opportunity for states to design and test multi-payer payment and service delivery models that deliver high-quality health care and improve health system performance.
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Staff from the CMS Innovation Center hosted an overview webinar of the Health Care Innovation Awards Round Two to give interested potential applicants the opportunity to hear more about the Funding Opportunity Announcement. CMS Innovation Center staff were also available to answer questions. Advance registration was required.
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CMS Innovations
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Population Health Management: Enabling Accountable Care in Collaborative Prov...Salus One Ed
This document provides the reader information about population health management (PMH), how it relates to incentive payments for healthcare providers and their health insurance partners (commercial and government). See details about required transformation of care delivery methods, typical accountable care payment models, how to achieve incentives, partnerships between state government (public health) and community shared services needs and necessary technology and data to achieve it.
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
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In this August 14, 2012 webinar CMS Innovation Center staff provided additional information for states that are interested in applying for a Model Design award. Governors' offices were strongly encouraged to onvite their health care innovation team, key stakeholders and appropriate State officials such as State health department directors, Medicaid directors, and insurance commissioners.
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CMS Innovations
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In this August 15, 2012 webinar CMS Innovation Center staff provided additional information for states that are interested in applying for a Model Testing award. Governors' offices were strongly encouraged to onvite their health care innovation team, key stakeholders and appropriate State officials such as State health department directors, Medicaid directors, and insurance commissioners.
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Network physicians, hospitals, and other care continuum providers work collaboratively in active clinical process improvement programs across service lines and specialties to define, establish, implement, monitor, evaluate and periodically update the processes of:
- Evidence-based medicine
- Beneficiary engagement
- Care coordination
- Conservation of healthcare resources
- Clinical data reporting
Patients are receiving disjointed care in the present expensive system. Changing the model:
- Identifying the components of The Transformed System; affordable, accessible, seamless, and coordinated plus high quality, person and family centered, and clinically supportive
- Listing ways to develop partnerships that create strong symbiotic teams
- Creating Care and Operation Interventions that integrate with Care Transitions, Guided Care in the PCMM(H), and ACO models
Michigan Hospital Association Governance meetingMary Beth Bolton
Patient centered medical home activities in MI and Nationally and the opportunity to improve quality outcomes by increased access to primary care doctors who outreach members who are missing preventive and chronic care services.
Modern Relationships Between Physicians, Hospitals, and Long-Term Care Provid...PYA, P.C.
PYA Consulting Manager Aaron Elias co-presented “Modern Relationships Between Physicians, Hospitals, and Long-Term Care Providers in a Time of Risk-Based Contracting,” along with Jeanna Palmer Gunville, a shareholder at Polsinelli.
On 11th February 2016 the Big Lottery Fund and CBO evaluation team ran a peer learning event for people developing SIBs related to health. These slides are from the workshop on the Ways to Wellness SIB.
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Similar to Webinar: Comprehensive Primary Care Initiative - For Primary Care Physicians (20)
The Medicare Advantage Value-Based Insurance Design (VBID) Model team at the Center for Medicare and Medicaid Innovation (CMMI) and national leaders participated in a discussion around pathways for addressing food and nutritional insecurity at webinar event of our Health Equity Incubation Program on Thursday, March 31, 2022, from 3:00-4:30 PM ET.
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The CMS Innovation Center hosted an office hours session on Tuesday, April 5, 2022 from 3:00-4:00 PM ET to discuss the Medicare Advantage Value-Based Insurance Design (VBID) Model and its Hospice Benefit Component. Attendees received an overview of the Model and the CY 2023 application process, and had an opportunity for questions and answers with the Model team.
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The ACO REACH Model Team will hosted a health equity webinar on Tuesday, April 5, 2022 from 4:00 - 5:00 p.m. EDT. The ACO REACH Model team highlighted Health Equity provisions added to the ACO REACH Model.
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This webinar focuses on the new financial policies featured in the ACO REACH webinar. For more information on the financial methodology for the ACO REACH Model that will be transitioned from the Global and Professional Direct Contracting (GPDC) Model, please refer to prior released financial webinars available on the GPDC Model webpage.
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During this webinar, a high-level overview of the ACO REACH Model was provided including information on the participation and eligibility requirements, Accountable Care Organization (ACO) types, payment mechanisms, and beneficiary alignment methodology.
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The CMS Innovation Center will host a webinar on Thursday, March 10, 2022 from 3:00-4:00 PM ET. During this webinar, presenters will provide a brief review of the recently released Calendar Year (CY) 2023 Requests for Applications (RFAs) for the VBID Model and the Hospice Benefit Component as well as the payment design related to the Hospice Benefit Component of the VBID Model. This session will also offer attendees an opportunity to ask follow-up questions.
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This webinar provided an overview of the Model and the Part D Sponsor application process, as well as included a Q&A session for interested Part D sponsors.
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The CMS Innovation Center hosted a webinar on Wednesday, March 2, 2022 at 3pm – 4pm ET, during which presenters shared updates on the Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model, the Kidney Care Choices (KCC) Model, and the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. This event was available to the first 1,000 registrants. Presentation materials will be available on the respective model webpages following the session.
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The Medicare Advantage Value-Based Insurance Design (VBID) Model Team hosted an office hours session on Thursday February 3rd, 2022 on the Hospice Benefit Component to provide technical and operational support to interested stakeholders. During this office hours session, presenters answered questions submitted in advance to the VBID Mailbox and offered attendees an opportunity to ask additional questions.
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Has your organization prioritized addressing health inequities? How can a Center for Medicare and Medicaid Innovation (CMMI) Model factor into your organization’s health equity strategy? How can you structure your plan’s benefits to have the greatest impact on underserved communities? What partnership opportunities are available with CMMI?
These are important questions CMMI plans to answer in a new webinar series focused on health equity! CMMI is sponsoring a series of webinars for current and potential Medicare Advantage Organization (MAO) participants in the Value-Based Insurance Design (VBID) Model.
The first webinar in the series provided an overview of the Model’s Health Equity Incubation Sessions effort, articulated a business case for MAOs to leverage VBID Model Components to address health inequities in their member populations, and provided specific guidance and clarification on the full extent of health equity focused flexibilities that fall under the Model’s waiver authority.
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CMMI, in partnership with Million Hearts® at the Centers for Disease Control and Prevention (CDC), will sponsor a webinar entitled Value-Based Insurance Design, Opportunities to Improve Medication Adherence for Cardiovascular Disease Prevention on October 21, 2021 from 3:00-4:00 PM ET. The webinar will present evidence-based high impact strategies for MAOs to improve care and outcomes for beneficiaries with cardiovascular disease (CVD), including underserved populations.
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The ET3 Model and Medicaid: Opportunities for Alignment webinar provided background on the ET3 Model, discussed the benefits for states of aligning coverage and payment policies with ET3, and explored considerations for states seeking to implement new Medicaid services that align with the ET3 Model. This webinar was intended for state Medicaid agencies, ET3 Model Participants, and other stakeholders interested in learning more about optional Medicaid alignment with the ET3 Model.
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CMS announced an Office Hour event for potential applicants to ask questions ahead of the PCF application deadline.
The PCF Model Team was available to answer questions on key topics including eligibility, payment design and attribution, and more.
You may also refer to the materials from the two PCF webinars held in March: Introduction to PCF and Ready, Set, Apply.
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In order to help ETC Model Participants prepare for the ETC Model, CMS conducted an introductory webinar on Wednesday, December 9, 2020 from 1 p.m. to 2 p.m. The webinar provided an overview of the ETC Model, including:
Participant selection
The Home Dialysis Payment Adjustment
The Performance Payment Adjustment
The ETC Model timeline, including the timing of payment adjustments
Information about how to communicate with CMS about the ETC Model
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The Value-Based Insurance Design (VBID) Model team hosted a webinar on January 28, 2021 from 4:00-5:00 PM EST. During this webinar, presenters provided a brief review of the recently released Calendar Year (CY) 2022 Requests for Applications (RFAs) for the VBID Model and the Hospice Benefit Component. This session also offered attendees an opportunity to ask follow-up questions.
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The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Wednesday, March 17, 2021 from 4:00 - 5:00 PM EDT. During this webinar, presenters provided a preview of the Calendar Year 2022 payment design related to the Hospice Benefit Component of the VBID Model. The session also offered attendees an opportunity to ask follow-up questions.
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The Part D Senior Savings Model and Part D Payment Modernization Model teams hosted a webinar on Tuesday, March 23, 2021 from 1:00 to 2:00 PM EDT. During this webinar, presenters provided an overview of the two Models and the Calendar Year (CY) 2022 application process. The session also offered attendees an opportunity to ask follow-up questions.
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CMS hosted a virtual office hour session on April 13, 2021 from 4:00-5:00 PM EDT. During this office hour, presenters provided a review of the Calendar Year 2022 payment design and payment rates related to the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model. This session also offered attendees an opportunity to ask follow-up questions.
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The Emergency Triage, Treat, and Transport (ET3) Model Medical Triage Line Notice of Funding Opportunity (NOFO) webinar provided an overview of the application process and NOFO requirements for implementing 911 medical triage lines. This webinar was intended for those interested in learning more about the ET3 Model’s Notice of Funding Opportunity, which was released March 12.
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The Primary Care First Model (PCF) Options team provided an overview of the PCF payer partnership. Participants were able to learn about current PCF Model participants, benefits to payer partnership, the framework against which payer proposal alignment will be evaluated, and the payer solicitation process and timeline.
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More from Centers for Medicare & Medicaid Services (CMS) (20)
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Canadian Immigration Tracker March 2024 - Key SlidesAndrew Griffith
Highlights
Permanent Residents decrease along with percentage of TR2PR decline to 52 percent of all Permanent Residents.
March asylum claim data not issued as of May 27 (unusually late). Irregular arrivals remain very small.
Study permit applications experiencing sharp decrease as a result of announced caps over 50 percent compared to February.
Citizenship numbers remain stable.
Slide 3 has the overall numbers and change.
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Webinar: Comprehensive Primary Care Initiative - For Primary Care Physicians
1. Learn about the Comprehensive Primary Care Initiative:
A Webinar for Primary Care Practitioners
CMS Innovation Center
2. Agenda
• Introduction
• Overview of Comprehensive Primary Care
Initiative
• Primary Care Practice Application and
Selection Process
2
3. The CMS Mission
CMS is a constructive force and a trustworthy
partner for the continual improvement of health
and health care for all Americans.
3
4. CPC Initiative: The Vision
Through the leadership of public and private
payers working together, we will establish a new
national model for the purchase and delivery of
comprehensive primary care that will improve
health and reduce costs across our country.
5. Value Proposition
• This initiative is testing the idea that more
support for primary care will lead to
– Better health
– Better care
– Decreased health system costs
• Payers are willing to invest in a test of enhanced
primary care with other payers and CMS
• This test may inform national payment policy for
primary care
6. Practice and Payment Redesign
in the CPC initiative
• A major barrier to transformation in practice is
transformation in payment
• The CPC initiative will test a practice redesign model
supported by a new payment model over 4 years:
Practice Redesign
• Provision of comprehensive primary care functions
• Effective use of data to guide care
Payment Redesign
• Per-beneficiary-per-month (PBPM) care management fee
• Shared Savings opportunity
8. Practice Redesign:
Five Comprehensive Primary Care Functions
1. Risk-stratified care management
2. Access and continuity
3. Planned care for chronic conditions and
preventive care
4. Patient and caregiver engagement
5. Coordination of care across the medical
neighborhood
9. 1. Risk-stratified care management
• Assessing the health risks for each patient
• Engaging patients to create a plan of care that
addresses individual health risks, circumstances,
and values
• Intensive care management for the sickest patients
with highest needs
• Use of evidence-based pathways for care and
decision aids to support clinical decision-making
10. 2. Access and continuity
• Patient access to care and advice 24/7 guided by the
medical record when needed
• Continuity of care to build trusted relationships
• A population-based approach to care, with care
teams and providers responsible for care of a
defined patient panel
11. 3. Planned care for chronic conditions
& preventive care
• Use of team-based care to meet the patient’s needs
• Development of a personalized plan of care for each
patient
• Systematic medication reconciliation and
management
• Planned care for chronic conditions and preventive
services
12. 4. Patient & caregiver engagement
• Engaging patients and their families in active
participation in goal setting and shared decision
making
• Building robust support for self-management of
health and chronic conditions into daily practice
• Engaging the patient and their families in adopting
practice changes that better meet needs
13. 5. Coordination of care across the
medical neighborhood
• Comprehensive primary care, with the primary care
provider as the lead in coordinating care
• Establish clear mechanisms for exchange of critical
information with specialists, emergency care, and
hospitals
• Build linkages to community-based resources to help
patients meet their health goals
14. Practice Redesign:
Additional Support for Practices
• CMS and the participating payers have made a commitment
to share data with practices on utilization and the cost of
care for aligned beneficiaries
• Provide market-based learning opportunity to help practices
effectively share their experiences, track their progress and
rapidly adopt new ways improving
– 5 comprehensive primary care functions
15. Helping Practices Succeed
• The Innovation Center is leveraging local and national
expertise to develop local learning communities
• Practices will receive support to test and implement
the changes required for comprehensive primary
care.
– participate in periodic calls and in-person meetings
– actively share resources, tools, and ideas in an online
collaboration site, developed for this Initiative
– report on the online collaboration site key measures that are of
importance to the practice
16. Payment Redesign:
3 Components of Medicare Payment
• Medicare fee-for-service remains in place
• Average $20 PBPM fee (risk-adjusted) to support
increased infrastructure to provide CPC for first 2
years - reduced to an average of $15 PBPM in years
3 and 4
• Opportunity for Shared Savings in years 2, 3, and 4
– Calculated at the market level
– Practice share determined by size, acuity and quality
metrics
17. Payment Redesign:
Medicaid payment
In the following states, the state will receive funding from the
Innovation Center to support enhanced, non-visit-based payments to
participating practices who also serve fee-for-service (FFS) Medicaid
beneficiaries.
– Arkansas - average $3.63 PBPM (1115 waiver population, building on
PCCM program)
– Colorado - to be determined
– Ohio - average $15.00 PBPM (Aged, Blind, Disabled population)
– Oregon - average $4.00 PBPM (population not eligible for Medicaid
Health Home)
State will conduct beneficiary attribution.
Shared savings will not be offered as part of the CPC payment
redesign in Medicaid.
18. Payment Redesign:
Participating Payers
• The level and method of enhanced payment and shared
savings methods of other payers will vary within the market.
– That’s between each practice and the private payer.
• Payers individually responded to the CPC solicitation and
were not able to coordinate payment methods or levels.
– This approach maintains a competitive environment.
• Each selected practice is expected to have contracts in place
for at least 60% of total revenues (including Medicare).
19. Participating Payers and Purchasers
• Commercial Insurers
• Medicare Advantage plans
• States
• Medicaid Managed Care plans
• State/federal high risk pools
• Self-insured businesses
• Administrators of self-insured group (TPA/ASO)
20. 7 Selected Markets with 44 Payers
Effective Start Date
Arkansas: Statewide (4 Payers) Oct. 1, 2012
Colorado: Statewide (9 Payers) Nov. 1, 2012
New Jersey: Statewide (5 Payers) Nov. 1, 2012
New York: Capital District-Hudson Valley Region Nov. 1, 2012
(6 Payers)
Ohio and Kentucky: Cincinnati-Dayton Region Nov. 1, 2012
(10 Payers)
Oklahoma: Greater Tulsa Region (3 Payers) Oct. 1, 2012
Oregon: Statewide (7 Payers) Nov. 1, 2012
21. What would it mean for you practice to
participate in the CPC Initiative?
• New resources
– Multiple payers, including CMS, will be paying a monthly
care management fee to support the 5 primary care
functions
• More data about your population of patients
– Each payer will provide data on cost of care and resource
use for attributed patients
• Opportunity to share in savings with CMS and other
payers.
22. How would your practice be different?
• Harness the power of your EHR to:
– Access the patient information you need when you need
it to manage the healthcare of your patients
– Assure your patients seamless, coordinated care
– Use your clinical data to know how well your patients are
doing
• Proactive risk assessment for your patients
• Dedicated staff to support care management,
transitions
• Payment for high-value care, not based on visits
23. Uses of enhanced compensation
• Practices will have discretion to use enhanced,
non-visit based compensation to support:
– Non-billable practitioner time
– Care teams (e.g. care managers, social workers, health
educators, pharmacists, nutritionists, behavioralists)
embedded in the practice
– Community health teams
– Investment in technology
24. Achieving Milestones
• There are 9 primary care practice milestones embedded in the
terms and conditions
• The milestones are designed to indicate active testing and
implementation of changes in the practice
– aim of achieving better health, better care, and lower total health
system costs
• The initial set of milestones address the first year of the
program
• Future milestones will be developed informed by progress by
the practices
25. Milestone #1
Complete an annual budget or forecast
• Project new CPC Initiative practice revenue flow
• Indicate how it will be used for anticipated expenses associated
with practice change
– practices can submit their own budgets with defined domains, or
build off of a template provided by the Innovation Center
26. Milestone #2
Provide care management for high risk patients
• Indicate the methodology used to assign a risk status to every
empanelled patient
– The methodology can use a global risk score or a set of risk indicators to
segment the population.
• Establish and track a baseline metric for percent assignment of risk
status and proportion of population in each risk category
• Provide practice-based care management capabilities and indicate:
– Who provides care management services
– Process for determining who receives care management services
– Examples of care management plans on request.
27. Milestone #3
Provide 24/7 patient access guided by the medical record
• Telephone access to nurses or providers affiliated with the
practice
– Ensure real-time, 24/7 access to practice’s medical record to
inform patient advice and care provided by other professionals
28. Milestone #4
Assess and improve patient experience of care
• Practices will select at least one of the following:
• Provide at least 2 quarters of focused survey data based on at least
one CG-CAHPS survey domain chosen by the practice after review of
initial survey results done under this initiative; or
• Provide evidence of guidance from a patient advisory council that
meets at least quarterly, along with specific discussion of how this
feedback was used to change practice workflow or policy.
29. Milestone #5
Use data to guide improvement in care at the provider/
care team level
• Produce panel-based reports at least quarterly with at least
one quality measure and one utilization measure.
• These metrics would be chosen by the practice based on their
clinical importance and/or improvement potential.
30. Milestone #6
Demonstrate active engagement and care coordination
across the medical neighborhood
• Create a measurement – with numerator and denominator data
– to assess impact and guide improvement in at least one
transitions of care domain.
Example: Notification of emergency visits at local hospitals in timely
fashion
Denominator = All practice patients seen in ED
Numerator = All practice patients seen in local hospital ED for whose visit ED
report was received within 48 hours of the visit.
31. Milestone #7
Improve patient shared decision-making capacity
• Identify a priority condition, decision, or test for the practice
• Use panel-level data to generate a metric for the proportion of
patients who received a decision aid
32. Milestone #8
Participate in the market-based learning community:
• Attendance at three face to face meetings annually
• Web-based meetings at least monthly
• Sharing of materials or resources on the collaboration site
• Reporting on the collaboration site at least 6 key measures identified
by the practice to guide active testing of change
– These may include measures required for patient experience, risk status
assignment, care coordination, etc., as described above
33. Milestone #9
Attest to the requirements for Stage 1 of Meaningful Use
for the EHR Incentive Program
35. Application Process for Primary Care Practices
• Application Period: June 15 – July 20, 2012
• Go to Innovation Center webpage to begin the practice application:
http://www.innovations.cms.gov/initiatives/Comprehensive-Primary-
Care-Initiative/index.html
• Innovation Center will select approximately 75 primary care practices
in each market
• Selected practices agree to meet the Innovation Center’s program
criteria (terms and conditions) for which they will receive enhanced
payment
• Selected practices will separately enter into agreements with
participating payers
36. Primary Care Practice Eligibility
• Each individual practice site must apply separately (e.g. bricks
and mortar or office suite)
• Geographically located in a selected CPC market
• Submits claims to CMS under a common TIN, using the form CMS
1500 (formerly HCFA 1500)
• Serves a minimum of 150 Medicare fee-for-service beneficiaries
• Practices owned by a health system, IPA, academic institution,
insurance entity, or other parent owner must attach a commitment
letter from their parent owner committing to segregate funds paid in
conjunction with the CPC initiative
37. Eligibility of Medicare Beneficiaries
• Not necessary to enroll beneficiaries.
• The Innovation Center will attribute eligible beneficiaries to a
primary care practice through a claims-based process.
• CMS must be able to attribute patients uniquely to a single
practice and group of primary care practitioners.
– A practitioner who practices in multiple locations can only select
one location for participation in the CPC initiative.
– This practitioner may, however, continue to practice at other
locations.
38. Participation in other Medicare programs,
initiatives, models, or demonstrations
• A primary care practice may not participate in the CPC
Initiative if:
– it participates in any other initiative or program that includes
shared savings with Medicare
– its Tax Identification Number (TIN) is the same as any other
entity participating in the Medicare Shared Savings Program
• Participation in the CPC Initiative may make the practice
and/or practitioners in the practice ineligible to apply for
other CMS or Innovation Center initiatives
39. Application Scoring
Use of Electronic Health Records
Percentage of revenue from
CPC initiative payers
Recognition as a
medical home
Participation in
practice
transformation
41. Contents of the Practice Application
Section I: Demographic Information of the Practice
– Practice Name
– Address
– Contact Information
– Tax Identification Number (TIN)
Section II: Staffing and Structure of Practice
– National Provider ID for all primary care practitioners
– Meaningful use status of each primary care practitioner
– Composition of other practitioners that work in the practice
(if a practice is multi-specialty)
– Ownership of practice
42. Contents of the Practice Application
Section III: Use of Health Information Technology
Section III: Use of Health Information Technology
– Description of practice’s current utilization of electronic
Effectiverecordshealth information technology is central and
health use of
– Name of EHR support and high-value primary care delivery
essential to vendor the product
– Use of electronic registry to trackthis reason, use of in care
model in the CPC Initiative. For and identify gaps health
information technology will be a major factor in the
Section IV: Patient Panel Characteristics forth in the
scoring of practice applications, as set
solicitation.
– Description and composition of patients served by the
practice
43. Contents of the Practice Application
Section V: Practice Revenue Sources
– List all revenue (insurance and copays) generated by
services provided to patients
– Practices should use their billing system or billing vendor to
generate this information
Section VI: Practice Recognition/Certification and
Participation in Other Programs
– List all certifications or accreditations
– Describe participation in learning collaboratives and quality
improvement activities
44. Contents of the Practice Application
Section VII: Terms and Conditions for Participating in
the Comprehensive Primary Care Initiative
– By submitting an application for the CPC Initiative, applicants
are agreeing to all of the terms and conditions for participation.
Section VIII: Upload Submission Letter
– To finalize the application, upload a scanned, dated one-page
PDF statement on your organization’s letterhead stating: ”I
certify that all information and statements provided in this
proposal are true, complete, and accurate to the best of my
knowledge and are made in good faith.”
– The letter needs to be signed by each of the primary care
practitioners in the practice.
45. Join Us
CPC Vision:
Through the leadership of public and private payers working
together, we will establish a new national model for the
purchase and delivery of comprehensive primary care that
will improve health and reduce costs across our country.
We look forward to working with primary care practices,
public and private payers, and other community
stakeholders to realize this vision.