On Thursday, April 18 from 1:00 p.m. - 2:00 p.m. EDT the Artificial Intelligence (AI) Health Outcomes Challenge team provided an informational overview of the challenge.
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During this webinar the Direct Contracting Model Options team hosted a webinar on Wednesday, December 11, 2019 from 1:30pm-3:00 p.m. EST entitled, Direct Contracting Overview/Direct Contracting Entity (DCE) Types/Alignment. During this webinar, presenters provided an overview of the Direct Contracting Model Professional and Global Options, including information about the participation and eligibility requirements, Direct Contracting Entity (DCE) types, payment mechanisms, and beneficiary alignment methodology.
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The Kidney Care Choices (KCC) Model team hosted a Comprehensive Kidney Care First (KCF) Model Option introduction webinar on Friday, November 15, 2019 from 12:00 p.m. - 1:00 p.m. EST.
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The Direct Contracting Model Options team hosted a webinar on January 15, 2020 to provide an overview of the Direct Contracting Model's payment methodology. During the session, the Direct Contracting model team presented key aspects of the Direct Contracting financial model, such as its risk-sharing options and risk mitigation strategies, as well as its capitation and other advanced payment alternatives. The forum also provided an opportunity for potential applicants to ask the team questions regarding these topics and other topics related to the model application.
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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 (PCF) Model Options team hosted a series of four informational webinars about the PCF Model Options. Topics discussed included the model options' aims, requirements, benefits of participation, and application next steps. Attendees had the opportunity to submit questions to the model options team during each of the webinars. Each of the webinars covered the same information.
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During this webinar the Primary Care First Model Options team provided an introduction to the Primary Care First Model that is geared towards payers, presented and answered questions live on topics related to payer partnership, including the Primary Care First payer alignment framework, benefits of multi-payer partnership, and the payer solicitation elements and selection process.
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The Emergency Triage, Treat, and Transport (ET3) Model team hosted an overview webinar about the ET3 Model Request for Applications (RFA) on Tuesday, June 11 from 2:00 - 3:00 p.m. EDT. The ET3 Model team reviewed key components of the RFA, including eligibility requirements, necessary information required to submit a complete application, and application timelines.
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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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During this webinar the Direct Contracting Model Options team hosted a webinar on Wednesday, December 11, 2019 from 1:30pm-3:00 p.m. EST entitled, Direct Contracting Overview/Direct Contracting Entity (DCE) Types/Alignment. During this webinar, presenters provided an overview of the Direct Contracting Model Professional and Global Options, including information about the participation and eligibility requirements, Direct Contracting Entity (DCE) types, payment mechanisms, and beneficiary alignment methodology.
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The Kidney Care Choices (KCC) Model team hosted a Comprehensive Kidney Care First (KCF) Model Option introduction webinar on Friday, November 15, 2019 from 12:00 p.m. - 1:00 p.m. EST.
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The Direct Contracting Model Options team hosted a webinar on January 15, 2020 to provide an overview of the Direct Contracting Model's payment methodology. During the session, the Direct Contracting model team presented key aspects of the Direct Contracting financial model, such as its risk-sharing options and risk mitigation strategies, as well as its capitation and other advanced payment alternatives. The forum also provided an opportunity for potential applicants to ask the team questions regarding these topics and other topics related to the model application.
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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 (PCF) Model Options team hosted a series of four informational webinars about the PCF Model Options. Topics discussed included the model options' aims, requirements, benefits of participation, and application next steps. Attendees had the opportunity to submit questions to the model options team during each of the webinars. Each of the webinars covered the same information.
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During this webinar the Primary Care First Model Options team provided an introduction to the Primary Care First Model that is geared towards payers, presented and answered questions live on topics related to payer partnership, including the Primary Care First payer alignment framework, benefits of multi-payer partnership, and the payer solicitation elements and selection process.
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The Emergency Triage, Treat, and Transport (ET3) Model team hosted an overview webinar about the ET3 Model Request for Applications (RFA) on Tuesday, June 11 from 2:00 - 3:00 p.m. EDT. The ET3 Model team reviewed key components of the RFA, including eligibility requirements, necessary information required to submit a complete application, and application timelines.
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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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The CMS Innovation Center hosted a webinar on Monday, March 3, 2014 to provide information on how to calculate budget neutrality for the five prongs in the Frontier Community Health Integration Project Demonstration. CMS also provided examples of ways that applicants can respond to the solicitation. Subject matter experts from the CMS Innovation Center and the Health Resources Services Administration (HRSA) provided details and answered 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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The Kidney Care Choices (KCC) Model team hosted a Comprehensive Kidney Care Contracting (CKCC) Model Options introduction webinar on Tuesday, November 12, 2019 from 12:00 p.m. - 1:00 p.m. EST.
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The CMS Innovation Center hosted a repeat of the Thursday, November 6 ACO Investment Model webinar on Tuesday, November 18, 2014, from 2:30pm-3:30pm EST. The webinar provided guidance on the ACO Investment Model (AIM) application to prospective ACO applicants. The webinar included a review of the model eligibility requirements and an explanation of each application question including the spend plan narrative and spreadsheet.
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Strong Start is an initiative to reduce preterm births and early elective deliveries while improving outcomes for newborns and pregnant women.
Under this initiative, the Innovation Center will award up to $43 million through a competitive process to providers, States, managed care plans, and conveners to achieve better care, improved health, and lower costs for these women and their newborns.
CMS Innovation Center and Center for Medicaid and CHIP Services staff will be hosting a webinar that will discuss how applicants can prepare their budget for the Strong Start Medicaid funding opportunity.
More at: http://innovations.cms.gov/resources/StrongStart_McaidFundOpp.html
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This was the second event in a two-part webinar series on the Primary Care First Seriously Ill Population (SIP) payment model option. During this webinar, the Primary Care First Model Options team reviewed additional details about the SIP payment model option. This webinar built upon what was discussed during the first SIP webinar held on July 24, 2019 and provided an opportunity for attendees to submit live questions.
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The Medicare-Medicaid Accountable Care Organization Model team hosted a webinar for states that are participating in the Medicare-Medicaid ACO Model on Thursday, June 15, 2017. Participating states have the opportunity to share in Medicare savings generated by Medicare-Medicaid ACOs in their state. This webinar covered the methodology for calculating those shared savings.
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This open door forum held on Tuesday, April 25, 2017 provided more detailed information on how to complete the Participant List tool for submission with your application to the Next Generation ACO Model.
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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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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 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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The Centers for Medicare & Medicaid Services hosted a webinar on Thursday, April 2, 2020 to discuss the Value Based Insurance Design (VBID), Part D Payment Modernization, and Part D Senior Savings models. Attendees received an overview of the models and the CY 2021 application process, and had an opportunity for questions and answers with the Model teams.
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The CMS Innovation Center held the third in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Tuesday, June 18, 2013 from 1:30–3:00pm EDT, focused on the remaining two of the four innovation categories.
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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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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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The Million Hearts: Cardiovascular Disease Risk Reduction Model team hosted an open door forum on Thursday, September 3, 2015. Attendees received an overview of the application as well an opportunity for question and answers about the Model. Joining the team was Paul Meissner, Director of Research Program Development at Montefiore Medical Center, who talked about why the Model is important to his organization.
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The CMS Innovation Center held the fourth in a series of webinar events for the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model on Wednesday, June 29, 2016 from 4:00p.m. – 5:00p.m. EDT. This webinar explored the LDO and non-LDO financial methodologies and the quality measures that are part of this model.
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The CMS Innovation Center hosted a webinar on Tuesday, March 4, 2014 to discuss the Winter Open Period. This webinar included available information about the models, as well as the process and requirements for submitting requests for participation.
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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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The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted an open door forum providing a application overview for the 2017 Next Generation Accountable Care Organization Model. The open door forum washeld on Tuesday, March 29 from 4:00pm – 5:30pm EDT.
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apidays LIVE New York - Using APIs to Transform the way CMS Shares Medicare C...apidays
apidays LIVE New York - API for Legacy Industries: Banking, Insurance, Healthcare and Retail
Using APIs to Transform the way CMS Shares Medicare Claims Data
Sarah Tully, API Product Manager at Centers for Medicare & Medicaid Services
Aami hitech mu impact on the future on HC ITAmy Stowers
Relate the components of The HITECH Act and Meaningful Use to health management technology
Identify whether existing systems meet requirements
Communicate technology needs and request feedback from end users for a smooth transition
Implement best practices to move people and systems forward under these new requirements
The CMS Innovation Center hosted a webinar on Monday, March 3, 2014 to provide information on how to calculate budget neutrality for the five prongs in the Frontier Community Health Integration Project Demonstration. CMS also provided examples of ways that applicants can respond to the solicitation. Subject matter experts from the CMS Innovation Center and the Health Resources Services Administration (HRSA) provided details and answered 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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http://innovation.cms.gov
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The Kidney Care Choices (KCC) Model team hosted a Comprehensive Kidney Care Contracting (CKCC) Model Options introduction webinar on Tuesday, November 12, 2019 from 12:00 p.m. - 1:00 p.m. EST.
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The CMS Innovation Center hosted a repeat of the Thursday, November 6 ACO Investment Model webinar on Tuesday, November 18, 2014, from 2:30pm-3:30pm EST. The webinar provided guidance on the ACO Investment Model (AIM) application to prospective ACO applicants. The webinar included a review of the model eligibility requirements and an explanation of each application question including the spend plan narrative and spreadsheet.
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Strong Start is an initiative to reduce preterm births and early elective deliveries while improving outcomes for newborns and pregnant women.
Under this initiative, the Innovation Center will award up to $43 million through a competitive process to providers, States, managed care plans, and conveners to achieve better care, improved health, and lower costs for these women and their newborns.
CMS Innovation Center and Center for Medicaid and CHIP Services staff will be hosting a webinar that will discuss how applicants can prepare their budget for the Strong Start Medicaid funding opportunity.
More at: http://innovations.cms.gov/resources/StrongStart_McaidFundOpp.html
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http://innovation.cms.gov
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This was the second event in a two-part webinar series on the Primary Care First Seriously Ill Population (SIP) payment model option. During this webinar, the Primary Care First Model Options team reviewed additional details about the SIP payment model option. This webinar built upon what was discussed during the first SIP webinar held on July 24, 2019 and provided an opportunity for attendees to submit live questions.
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http://innovation.cms.gov
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The Medicare-Medicaid Accountable Care Organization Model team hosted a webinar for states that are participating in the Medicare-Medicaid ACO Model on Thursday, June 15, 2017. Participating states have the opportunity to share in Medicare savings generated by Medicare-Medicaid ACOs in their state. This webinar covered the methodology for calculating those shared savings.
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This open door forum held on Tuesday, April 25, 2017 provided more detailed information on how to complete the Participant List tool for submission with your application to the Next Generation ACO Model.
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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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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 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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The Centers for Medicare & Medicaid Services hosted a webinar on Thursday, April 2, 2020 to discuss the Value Based Insurance Design (VBID), Part D Payment Modernization, and Part D Senior Savings models. Attendees received an overview of the models and the CY 2021 application process, and had an opportunity for questions and answers with the Model teams.
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The CMS Innovation Center held the third in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Tuesday, June 18, 2013 from 1:30–3:00pm EDT, focused on the remaining two of the four innovation categories.
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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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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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The Million Hearts: Cardiovascular Disease Risk Reduction Model team hosted an open door forum on Thursday, September 3, 2015. Attendees received an overview of the application as well an opportunity for question and answers about the Model. Joining the team was Paul Meissner, Director of Research Program Development at Montefiore Medical Center, who talked about why the Model is important to his organization.
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The CMS Innovation Center held the fourth in a series of webinar events for the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model on Wednesday, June 29, 2016 from 4:00p.m. – 5:00p.m. EDT. This webinar explored the LDO and non-LDO financial methodologies and the quality measures that are part of this model.
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The CMS Innovation Center hosted a webinar on Tuesday, March 4, 2014 to discuss the Winter Open Period. This webinar included available information about the models, as well as the process and requirements for submitting requests for participation.
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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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The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted an open door forum providing a application overview for the 2017 Next Generation Accountable Care Organization Model. The open door forum washeld on Tuesday, March 29 from 4:00pm – 5:30pm EDT.
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apidays LIVE New York - Using APIs to Transform the way CMS Shares Medicare C...apidays
apidays LIVE New York - API for Legacy Industries: Banking, Insurance, Healthcare and Retail
Using APIs to Transform the way CMS Shares Medicare Claims Data
Sarah Tully, API Product Manager at Centers for Medicare & Medicaid Services
Aami hitech mu impact on the future on HC ITAmy Stowers
Relate the components of The HITECH Act and Meaningful Use to health management technology
Identify whether existing systems meet requirements
Communicate technology needs and request feedback from end users for a smooth transition
Implement best practices to move people and systems forward under these new requirements
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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The Foundations of Success in Population Health ManagementHealth Catalyst
From hospital systems to large employers, organizations are increasingly taking on financial risk for the health of populations. Drivers of this trend include the update to the MSSP model, the recent CMS Primary Cares Initiative announcement, the increasing prevalence of the Medicare Advantage model, innovative partnerships in the self-insured employer space, and the proliferation of Medicaid ACOs. Yet while market pressures push organizations toward population risk, they don't necessarily help them succeed: most organizations are struggling to attain or sustain the dual imperatives of high-quality care and cost containment. A primary reason? Short-sighted and tactical approaches that don't provide the flexible data infrastructure and tools to adapt to emerging trends in population health—or to support short-term contractual requirements while building toward long-term success.
View this launch webinar to learn about Health Catalyst’s Population Health Foundations solution, a data and analytics-first starter set aimed at optimizing performance in value-based risk arrangements and providing the data ecosystem that will flex and adapt to complex needs of risk-bearing organizations. Solution services ensure that the strategic value of data is maximized to improve performance in risk contracts—and provide side-by-side subject matter expert partnership for establishing short- and long-term goals for population health management (PHM).
Built on Health Catalyst’s foundational technology and supported by the nationwide experience and perspective of its experts, the Population Health Foundations solution helps organizations leverage multiple data sources to understand their patient populations and create meaningful views of financial and clinical quality performance. As a starter set that organizations can build on based on their needs, the solution is designed to compensate for the known limitations of “black box” population health applications that fail to reveal the “why” of analytic insights and exacerbate the challenges of transforming quality, cost, and care. The Population Health Foundations solution delivers the essential analytic tools needed for success under value-based risk arrangements.
In these slides you can expect to:
- Review recent changes to the field of value-based care, and reactions and insights from the market
- Discover how the Population Health Foundations solution can act as a comprehensive, data-first analytics solution to support your population stratification and monitoring needs
- Understand how this solution functions as a foundational starter set for value-based care success, enabling clients to leverage all their data and other relevant population health tools
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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4 Strategies to Influence Digital Health Approaches in Clinical Research StudiesJohn Reites
Drug Information Association (DIA) 2016 Conference presentation by John Reites on June 26, 2016. Session entitled; "Digital Health Debate" including this presentation on the four strategies to influence digital health approaches in clinical research studies.
During this webinar, the Primary Care First Model Options team reviewed information necessary to submit an application for Primary Care First. The team discussed details on various parts of the application and answered frequently asked questions. Attendees also could submit questions live.
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ACOs: Four Ways Technology Contributes to SuccessHealth Catalyst
With an increasing emphasis on value-based care, Accountable Care Organizations (ACOs) are here to stay. In an ACO, healthcare providers and hospitals come together with the shared goals of reducing costs and increasing patient satisfaction by providing high-quality coordinated healthcare to Medicare patients. However, many ACOs lack direction and experience difficulty understanding how to use data to improve care. Implementing a robust data analytics system to automate the process of data gathering and analysis as well as aligning data with ACO quality reporting measures. The article walks through four keys to effectively implementing technology for ACO success:
Build a data repository with an analytics platform.
Bring data to the point of care.
Analyze claims data, identify outliers, including successes and failures.
Combine clinical claims, and quality data to identify opportunities for improvement.
Health Systems Share COVID-19 Financial Recovery Strategies in First Client H...Health Catalyst
More than 100 attendees joined the first of a series of Health Catalyst virtual client huddles designed to support client partners and aid collaboration and direct client connections in this time of unprecedented change. According to an April 2020 survey of Health Catalyst clients, 72.6 percent said they had a strong interest in examples, guidance, and tools from other health systems. In the client-only session, insights shared included the most common COVID-19 analytic projects and one health system’s elective surgery plan.
The health system shared the challenges they faced in understanding the financial impact of halting elective surgeries as well as creating a plan for working through their backlog. They also shared the tools and strategies they are using to aid their financial recovery.
Master Your Value-Based Care Strategy: Introducing Health Catalyst Value Opti...Health Catalyst
Each year CFOs and population health executives at health systems (and other risk-bearing entities) ask themselves: What is our strategy to realize maximum value in our risk-based contracts? Many organizations lack an approach for managing complex, risk-based populations—one that is driven by data, helps them understand their performance, and shows them which of their many options should be prioritized and pursued.
The Health Catalyst Value Optimizer™ solution help systems master their value-based care (VBC) strategy and achieve profitability in population health management. Delivering data aggregation, integration, and analysis, Value Optimizer instantly identifies the most valuable benchmarked opportunities for improvement across the continuum—offering actionable guidance for success in risk-based contracts.
Join Mike McBride, Vice President of Payment Transformation at Health Catalyst, as he demonstrates how Value Optimizer empowers leaders to confidently pursue a rational course toward improved risk-based performance.
What You’ll Learn about Value Optimizer:
• Comprehensive, quantified intelligence. Value Optimizer presents one solution to understand all your financial options—up to 10,000 possible opportunities across the care continuum—benchmarked and compared with dollar impact.
• Accuracy and context for better decisions. With continually refreshed data and benchmarking (using risk-adjusted codes, published research, or “digital twin” population matching), the app serves up timely and meaningful data to guide your VBC strategy.
• Transparency, not "black box." With fully disclosed and legible groupers, metric calculations, and risk and benchmarking methodologies, the solution allows open-book analytics across 10+ domains from inpatient to post-acute, prescriptions to coding, chronic to end-of-life care, etc.
• Expert guidance. Our most successful clients work with our services team to explore opportunities within the complete clinical, operational, and financial context for a given population—accessing guidance that up-levels their strategic insight and accelerates success.
2016 IBM Interconnect - medical devices transformationElizabeth Koumpan
Emerging technologies such as Internet of Things, 3D Printing are driving the creation of new business models and forcing the Industry for transformation. The product centric model where the Industry main objective was to develop the device, is moving to software and services model, with the focus on Big Data & Analytics, Integration and Cloud.
The maturation of technologies such as social, mobile, analytics, cloud, 3D printing, bio- and nanotechnology are rapidly shifting the competitive landscape. These emerging technologies create an environment that is connected and open, simple and intelligent, fast and scalable. Organizations must embrace disruptive technologies to drive innovation
The Integrated Care for Kids (InCK) Model team presented a webinar covering the notice of funding opportunity application on Thursday, April 18 from 2:30 p.m. to 4:00 p.m. EST.
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Telehealth Failures & Secrets to Success Conference 2017 by VSee Speaker Series
Karyn DiGiorgio (University of California)
More info at: vsee.com/conference
Similar to Webinar: Artificial Intelligence (AI) Health Outcomes Challenge - Informational Overview (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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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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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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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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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 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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The Primary Care First Model Options team provided an overview of the Model, including goals, eligibility to participate in the second cohort, payment design and attribution, and data sharing. Model staff answered your questions about these topics.
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The Community Health Access and Rural Transformation (CHART) Model team hosted an overview webinar on Tuesday, August 18, 2020 from 1:00 - 2:30 PM EDT. Attendees had the opportunity to hear an overview of the CHART Model, including its objectives, eligible participants and their roles, payment options, and timeline.
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The Direct Contracting Model Options team hosted a webinar on June 29, 2020 from 1:00 to 2:00 PM EDT. During this webinar, presenters provided a demonstration of the application portal and the Provider List Submission Tool (PLST). Following this session, attendees had an opportunity to ask follow-up questions.
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During this webinar the Part D Senior Savings Model team provided an overview of the insulin model and discussed the Request for Applications (RFAs).
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CMS held a stakeholder call on Wednesday, February 26, 2020 at 2:00 P.M. Eastern Standard Time to discuss the CY 2021 Hospice Capitation Payment Rate Actuarial Methodology for the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model. During the session, CMS presented on key aspects of the hospice capitation payment rate development, such as how Fee-For-Service paid hospice experience was incorporated, as well as its payment structure, including use of a hospice-specific average geographic adjustment. The forum also provided an opportunity for potential applicants to ask CMS questions regarding these topics.
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More from Centers for Medicare & Medicaid Services (CMS) (20)
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.
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
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.
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
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
Up the Ratios Bylaws - a Comprehensive Process of Our Organizationuptheratios
Up the Ratios is a non-profit organization dedicated to bridging the gap in STEM education for underprivileged students by providing free, high-quality learning opportunities in robotics and other STEM fields. Our mission is to empower the next generation of innovators, thinkers, and problem-solvers by offering a range of educational programs that foster curiosity, creativity, and critical thinking.
At Up the Ratios, we believe that every student, regardless of their socio-economic background, should have access to the tools and knowledge needed to succeed in today's technology-driven world. To achieve this, we host a variety of free classes, workshops, summer camps, and live lectures tailored to students from underserved communities. Our programs are designed to be engaging and hands-on, allowing students to explore the exciting world of robotics and STEM through practical, real-world applications.
Our free classes cover fundamental concepts in robotics, coding, and engineering, providing students with a strong foundation in these critical areas. Through our interactive workshops, students can dive deeper into specific topics, working on projects that challenge them to apply what they've learned and think creatively. Our summer camps offer an immersive experience where students can collaborate on larger projects, develop their teamwork skills, and gain confidence in their abilities.
In addition to our local programs, Up the Ratios is committed to making a global impact. We take donations of new and gently used robotics parts, which we then distribute to students and educational institutions in other countries. These donations help ensure that young learners worldwide have the resources they need to explore and excel in STEM fields. By supporting education in this way, we aim to nurture a global community of future leaders and innovators.
Our live lectures feature guest speakers from various STEM disciplines, including engineers, scientists, and industry professionals who share their knowledge and experiences with our students. These lectures provide valuable insights into potential career paths and inspire students to pursue their passions in STEM.
Up the Ratios relies on the generosity of donors and volunteers to continue our work. Contributions of time, expertise, and financial support are crucial to sustaining our programs and expanding our reach. Whether you're an individual passionate about education, a professional in the STEM field, or a company looking to give back to the community, there are many ways to get involved and make a difference.
We are proud of the positive impact we've had on the lives of countless students, many of whom have gone on to pursue higher education and careers in STEM. By providing these young minds with the tools and opportunities they need to succeed, we are not only changing their futures but also contributing to the advancement of technology and innovation on a broader scale.
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
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
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
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.
Webinar: Artificial Intelligence (AI) Health Outcomes Challenge - Informational Overview
1. 2
The Center for Medicare and Medicaid Innovation
The Centers for Medicare & Medicaid Services
Artificial Intelligence Health Outcomes
Challenge
2. 3
This presentation is only intended to give a high level overview
of the CMS Artificial Intelligence Health Outcomes Challenge.
This presentation is not intended to interpret or modify the
actual Challenge announcement in any way; if there is a
conflict between this presentation and the announcement, the
announcement controls. The Public Notice may be found at
https://go.cms.gov/AI.
Disclaimer:
3. 4
1. Overview of the CMS Innovation Center
2. Understanding the Problem
3. The Challenge Goals
4. Competition Structure
5. Submission Requirements
6. Eligibility
7. Intellectual Property Terms
8. Evaluation Criteria
9. Medicare Competition Data
10. How to Enter
11. Challenge Updates
12. Q&A
Agenda
4. 5
The Center for Medicare and Medicaid
Innovation (the Innovation Center) within
CMS tests of innovative health care
payment and service delivery models.
All models are designed to reduce
program expenditures and preserve or
enhance the quality of care for Medicare,
Medicaid, and Children’s Health Insurance
Program beneficiaries.
Overview of the Center for Medicare and Medicaid Innovation
5. 6
The CMS Artificial Intelligence (AI)
Health Outcomes Challenge is a $1.65
million prize competition designed to
encourage the development of AI
models to predict health outcomes and
propose new outcome-based quality
measures that can be used to test and
evaluate innovative payment and
service delivery models under the
authority of section 1115A of the Social
Security Act.
6. 7
Source: https://innovation.cms.gov/files/x/aichallenge-pubnotice.pdf
Adverse Event: A negative
consequence of care resulting in
unintended injury or illness.
Unnecessary institutionalization
can also expose patients to
medical risk, and can result in
adverse events, including hospital-
acquired infections and death.
Unplanned Admission: When an individual
arrives at a hospital or skilled nursing facility
(SNF) due to an urgent and/or unexpected
condition.
High rates of unplanned admissions and
adverse events are not only costly to the
health care system, but may also
indicate low-quality care during a prior
hospital stay or contribute to poor care
coordination in post-acute care.
Understanding the Problem
7. 8
Develop innovative
strategies and
methodologies to: explain
the AI-derived predictions to
front-line clinicians and
patients.
2
Use AI/deep learning
methodologies to predict
unplanned hospital and SNF
admissions, and adverse
events within 30 days for
Medicare beneficiaries.
1
The Challenge Goals – What Participants Will Solve
8. 9
Explainable & Trustworthy
• Builds transparency and trust with
clinicians and patients
• Output information is explainable and
comprehensible.
Accurate & Actionable
• Actionable data that offers more
accurate predictive capabilities
• Empowers clinicians to provide
appropriate resources to the highest
risk patients, at the right time.
We need solutions that are:
9. 10
Runner-Up
$250k
Grand Prize
$1M
Participants receive
prize award & data file #2
+
$80k
Up to 5 Stage 1
Winners
Participants refine AI solution
with larger data file
Participants receive
data file #1
Up to 20
Launch Stage
Winners
Participants develop proof
of concept AI solution and
white paper
Public Entry
All participants submit
online application
Stage 2
Winners
Announced!
Stage 2:
Refine
Stage 1:
Design
Launch
Stage
Challenge Stages Overview
10. 11
Submit by June 18, 2019 at 5 PM ET
Use the online platform: ai.cms.gov
Participants describe:
1.The team
2.The solution
3.How the solution will function
4.Methods to build explainable AI
5.How the AI model will be trained
6.How the team will use a cross
disciplinary-design process
7.The development timeline
Briefing
Deck
Application Form:
1. Participant Information
2. Background & Prior Experience
3. Proposal & Methodology
Online
Application
Launch Stage: Submission Requirements
11. 12
• Shall have timely submitted an entry to participate
in the relevant Challenge stage.
• Shall have complied with all described
requirements in the Public Notice.
• Shall be incorporated in and maintain a primary
place of business in the United States, and
in the case of an individual, whether participating
singly or in a group, shall be a
citizen or permanent resident of
the United States.
• May not be a Federal entity or Federal employee
acting within the scope of his or her employment.
To be eligible to win a prize under
the AI Health Outcomes Challenge,
an individual or entity:
Eligibility Requirements
12. 13
• Shall not be an HHS employee.
• Federal grantees may not use Federal funds to
develop entries unless
consistent with the purpose of their grant award.
• Federal contractors may not use Federal funds
from a contract to develop AI Health Outcomes
Challenge applications or to fund efforts in support
of an AI Health Outcomes Challenge entry.
• Full terms and requirements to participate are
described in the Public Notice, accessible at
https://go.cms.gov/AI.
To be eligible to win a prize under
the AI Health Outcomes Challenge,
an individual or entity:
Additional Eligibility Requirements
13. 14
• Each participant must clearly delineate any
Intellectual Property and/or confidential commercial
information the participant wishes to protect as
proprietary data.
• All materials submitted to CMS as part of an entry
become CMS agency records.
• If the entry includes any third-party works, the
participant must be able to provide documentation of
all appropriate licenses and releases.
• See Public Notice for additional intellectual property
terms at https://go.cms.gov/AI.
• Participants are free to discuss their entry with other
parties, are encouraged to share ideas/technologies
publicly, collaborate or combine with other
participants to strengthen their solutions, and are free
to contract with any third parties.
• By participating, each participant warrants that he or
she is the sole owner of, or has the right to use, any
copyrightable works that the submission comprises.
• Each participant grants to CMS an irrevocable, paid-
up, royalty-free nonexclusive worldwide license to
reproduce, publish, post, link to, share, and display
publicly the submission, and abstracts.
Intellectual Property Terms
14. 15
Impact of Proposed
Solution
30%
Innovation of
Proposed Solution
30%
Human-AI
Collaboration
40%
Participant qualifications
and history will also be
assessed but not included
in the weighted score.
Launch Stage
Evaluation Criteria
*Subject to Change
15. 16
Impact of
Proposed
Solution
30%
Innovation of
Proposed
Solution
30%
Human-AI
Collaboration
40%
To what extent is the proposed approach
operationally feasible for CMS?
How likely is it to succeed in predicting unplanned
hospital and SNF admissions and adverse
events?
Did the participant identify potential roadblocks to
implementation and suggest ideas to facilitate
resolution of such roadblocks?
Impact of Proposed Solution (30%)
16. 17
Impact of
Proposed
Solution
30%
Innovation of
Proposed
Solution
30%
Human-AI
Collaboration
40%
To what degree is the proposed design
innovative, creative, and original?
To what extent did the participant demonstrate
how the proposed solution can outperform
existing approaches?
To what extent has the participant identified other
data sets and/or types of information that would
be useful to further refine their solutions following
the competition?
Innovation of Proposed Solution (30%)
17. 18
Impact of
Proposed
Solution
30%
Innovation of
Proposed
Solution
30%
Human-AI
Collaboration
40%
To what extent has the participant explained how the
proposed AI tool will work with humans (clinicians and
patients) to achieve the desired results?
To what extent has the participant demonstrated a link
between the proposed solution and benefit to the
Medicare population and potential impact on current
health care practice and delivery methods?
To what extent has the participant identified strategies
and tools to explain AI predictions to clinicians and
patients to build trust and drive transparency?
Human-AI Collaboration (40%)
18. 19
LDS files contain beneficiary-level
health information, but exclude
specified direct identifiers.
Stage 1 participants may request 5 years
of data and Stage 2 finalists may request
an additional, continuous 5 years of data
for the same set of ~2.5-3 million
beneficiaries.
Participants will follow the CMS process to sign Data Use
Agreement (DUA) to access the Limited Data Set (LDS), free of
charge. There are specific terms under the DUA that participants
must follow, including but not limited to providing a valid
research purpose for the data, and publishing research findings.
More information about the LDS and DUA can be found in the
Public Notice at https://go.cms.gov/AI.
Medicare Fee-for-Service Competition Data
19. 20
Institutional
1. Home Health
2. Hospice
3. Inpatient
4. Outpatient
5. Skilled Nursing Facility (SNF)
Non-Institutional
1. Carrier
2. Durable Medical
Equipment
7 Analytical Files
Non-institutional & Institutional
File Characteristics
• 5% Sample of Medicare Parts A/B
• Random
• Structured
• Continuous
Outcomes are
known.
1.47 Billion
5 Year Record Total
2013-2017
5 Year Time Frame
220 GB
File Size
290 MM
5 Year Claims Total
2.5-3 Million
De-identified Beneficiaries
Limited Data Set Snapshot
20. 21
4
Submit
your application by June
18, 2019 at 5 p.m. ET.
3
Attend
informational
webinars
2
Register
for the challenge
at ai.cms.gov
1
Get Smart
on the problem, competition
data, submission requirements,
and judging criteria
How to Enter
21. 22
Additional information regarding the
Challenge, information on the
competition data, and details of the
later stages will be provided
throughout 2019.
Additional information will be
published on the challenge platform:
ai.cms.gov
Teams Registered
+600
Challenge Updates
22. 23
The Center for Medicare & Medicaid Innovation
For more information, visit: ai.cms.gov
Q&A