The document describes the Comprehensive Primary Care Plus (CPC+) initiative, which aims to strengthen primary care through multi-payer partnerships and alternative payment models. It has three main goals: 1) allow practices to provide more comprehensive care, 2) accommodate practices at different transformation levels, and 3) achieve better care, smarter spending and healthier people. CPC+ will run in up to 20 regions over 5 years, selecting practices to participate in one of two tracks. It emphasizes the importance of aligning Medicare, Medicaid, and commercial payers to support practice transformation.
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 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 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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The Primary Care First Model Options team hosted a payment webinar on Wednesday, July 24, 2019 from 12:00 p.m. - 1:00 p.m. EDT. Topics discussed included how eligible practices can participate in the SIP payment model option of Primary Care First, eligibility requirements, quality measures, and payment.
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The webinar introduced the Comprehensive Primary Care initiative to the primary care provider community and covered the service delivery model, including the 5 Comprehensive Primary Care functions, and the milestones participating practices will need to achieve in the first year. The process for applying was also discussed, including information about the application itself.
More at: http://innovations.cms.gov/resources/CPCi-Webinar-for-PCPs.html
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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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CMS Innovations
http://innovations.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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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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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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CMS Innovation Center
http://innovation.cms.gov
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CMS Privacy Policy
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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:
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.
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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 Wednesday, July 24, 2019 from 12:00 p.m. - 1:00 p.m. EDT. Topics discussed included how eligible practices can participate in the SIP payment model option of Primary Care First, eligibility requirements, quality measures, and payment.
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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 webinar introduced the Comprehensive Primary Care initiative to the primary care provider community and covered the service delivery model, including the 5 Comprehensive Primary Care functions, and the milestones participating practices will need to achieve in the first year. The process for applying was also discussed, including information about the application itself.
More at: http://innovations.cms.gov/resources/CPCi-Webinar-for-PCPs.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 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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CMS Innovations
http://innovations.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 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 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
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
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
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 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:
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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http://innovation.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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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:
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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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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 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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http://innovation.cms.gov
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In this webinar, staff from the CMS Innovation Center provided an overview of the Demonstration, and offered information about how to apply.
More at: http://www.innovations.cms.gov/resources/GNE_overview.html
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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
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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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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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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 CMS Innovation Center held a Medicare Advantage Value-Based Insurance Design Model webinar on August 24, 2016 from 2:00 – 3:00p.m. EDT. This webinar provided an overview of the changes to the model scheduled to take effect in 2018.
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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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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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During this event, the Primary Care First, Direct Contracting, and Kidney Care Choices model teams discussed areas such as model aim, timeline, participant eligibility, and more. Attendees had the opportunity to submit questions during a live Q&A portion.
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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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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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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 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 & 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
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
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CMS Innovation Center staff hosted a webinar for state officials on Tuesday, August 28, 2012 from 3:00pm to 4:00pm ET to provide additional information on the application process, financial templates and accessing Medicare data.
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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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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.
- - -
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 Thursday, April 21, 2016. During this webinar Model team members provided an overview of the model specifically for health IT vendors.
- - -
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
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
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 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.
- - -
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
- - -
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
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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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In this webinar, staff from the CMS Innovation Center provided an overview of the Demonstration, and offered information about how to apply.
More at: http://www.innovations.cms.gov/resources/GNE_overview.html
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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 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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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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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 CMS Innovation Center held a Medicare Advantage Value-Based Insurance Design Model webinar on August 24, 2016 from 2:00 – 3:00p.m. EDT. This webinar provided an overview of the changes to the model scheduled to take effect in 2018.
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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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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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During this event, the Primary Care First, Direct Contracting, and Kidney Care Choices model teams discussed areas such as model aim, timeline, participant eligibility, and more. Attendees had the opportunity to submit questions during a live Q&A portion.
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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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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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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 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 staff hosted a webinar for state officials on Tuesday, August 28, 2012 from 3:00pm to 4:00pm ET to provide additional information on the application process, financial templates and accessing Medicare data.
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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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The CMS Innovation Center held the second in a series of webinar events for the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model on Wednesday, June 8, 2016 from 12:00p.m. – 1:30p.m. EDT. This webinar consisted of a panel discussion focusing on learning from past ESCO participants on what it takes to become a successful applicant and successful ESCO.
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The CMS Innovation Center held the fourth in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Thursday, June 20, 2013 from 1:00–2:00pm EDT, focused on how to achieve lower costs through improvement. This webinar also reviewed the components of the Financial Plan.
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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 second of two batches of responses received by the Center for Medicare and Medicaid Innovation to the RFI.
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The CMS Innovation Center held the seventh in a series of webinars on Thursday, July 18, 2013 from 1:00–2:00pm EDT to provide an overview of the application package.
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The CMS Innovation Center held the eighth in a series of webinars about the Health Care Innovation Awards Round Two on Wednesday, July 24, 2013 from 1:00–2:00pm EDT to provide technical assistance on submitting an application.
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CMS hosted an Open Door Forum call on November 22, 2013 to allow providers, suppliers, beneficiary advocacy groups, and other interested parties to provide input into the design and implementation of this demonstration. Mandated by the “Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012 (P.L. 112-242)”, the purpose of this demonstration is to evaluate the impact of providing payment for items and services needed for the in-home administration of IVIG for the treatment of primary immune deficiency disease (PIDD). The demonstration will provide these benefits for up to 4,000 Medicare beneficiaries for a period of three years.
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The CMS Innovation Center is hosting a conference call to discuss important updates regarding the Strong Start funding opportunity. Due to numerous questions and suggestions we have received from stakeholders, CMS is revising the Funding Opportunity Announcement (FOA) to respond to the important issues stakeholders have raised. CMS will extend the application deadline to allow potential applicants the time they need to develop innovative models.
More at: http://www.innovations.cms.gov/resources/StrongStart_ConferenceCall.html
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CMS Innovation Center staff hosted this webinar for state officials to provide additional information on the application process, financial templates and accessing Medicare data.
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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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The CMS Innovation Center hosted a webinar on Wednesday, July 2, 2014, from 4:15pm-5:15pm EDT. The webinar reviewed Model Test Proposal Format Requirements, the ‘Population Health Plan’ Portion of the Model Test Project Narrative, and the Population Health Plan Deliverable of the Model Test Project Period.
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In this July 11, 2012 webinar, CMS Innovation Center staff discussed the amended Funding Opportunity Announcement (FOA) for the Strong Start for Mothers and Newborns initiative.
More at: http://www.innovations.cms.gov/resources/StrongStart_FOA.html
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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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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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The CMS Innovation Center held the fifth in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Wednesday, June 26, 2013 from 1:00–2:00pm EDT, focused on measuring project success and developing an operational plan.
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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 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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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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4508 Final Quality Project Part 2 Clinical Quality Measur.docxblondellchancy
4508 Final Quality Project
Part 2: Clinical Quality Measures for Hospitals
Overview
This activity focuses on Quality Measures for Hospitals. The activity uses online resources from
the CMS website. The Clinical Quality Measures for Hospitals activity focuses on the Hospital
Value Based Purchasing (VBP) Program
Background
The National Quality Strategy (NQS) was first published in March 2011 as the National Strategy
for Quality Improvement in Health Care, and is led by the Agency for Healthcare Research and
Quality on behalf of the U.S. Department of Health and Human Services (HHS). Today, the NQS
serves as a guide for identifying and prioritizing quality improvement efforts, sharing lessons
learned, and measuring the collective success of Federal, State, and public‐ and private‐sector
healthcare stakeholders across the country.
The Aims of the NQS are threefold:
Better Care: Improve the overall quality by making health care more patient‐centered,
reliable, accessible, and safe.
Healthy People/Healthy Communities: Improve the health of the U.S. population by
supporting proven interventions to address behavioral, social, and environmental
determinants of health in addition to delivering higher‐quality care.
Affordable Care: Reduce the cost of quality health care for individuals, families,
employers, and government.
To align with this, CMS has set goals for their Quality Strategy. These include:
• Make care safer by reducing harm caused in the delivery of care
– Improve support for a culture of safety
– Reduce inappropriate and unnecessary care
– Prevent or minimize harm in all settings
• Strengthen person and family engagement as partners in their care
• Promote effective communication and coordination of care
• Promote effective prevention and treatment of chronic disease
• Work with communities to promote best practices of healthy living
• Make care affordable
CMS’s vision states that if we can find better ways to pay providers, deliver care, and distribute
information than patients can receive better care, health dollars are spent more wisely, and
there are healthier communities, a healthier economy, and a healthier county. It is with this in
mind that they have created multiple quality payment programs.
In January 2015, the Department of Health and Human Services made an announcement that
set in place measurable goals and a timeline to move the Medicare program towards paying
providers based on the quality of care rather than the quantity. This was the first time in the
history of the program that explicit goals were set. They invited private sector payers to match
or exceed these goals as well. These goals included:
1. Alternative Payment Models
a. 30% of Medicare payments tied to quality or value through Alternative Payment
models by the end of 2016 and 50% by the end of 2018
2. Linking Fee‐For‐Service payments to Quality/Value
a. 85% of all Medi ...
4508 Final Quality Project Part 2 Clinical Quality Measurromeliadoan
4508 Final Quality Project
Part 2: Clinical Quality Measures for Hospitals
Overview
This activity focuses on Quality Measures for Hospitals. The activity uses online resources from
the CMS website. The Clinical Quality Measures for Hospitals activity focuses on the Hospital
Value Based Purchasing (VBP) Program
Background
The National Quality Strategy (NQS) was first published in March 2011 as the National Strategy
for Quality Improvement in Health Care, and is led by the Agency for Healthcare Research and
Quality on behalf of the U.S. Department of Health and Human Services (HHS). Today, the NQS
serves as a guide for identifying and prioritizing quality improvement efforts, sharing lessons
learned, and measuring the collective success of Federal, State, and public‐ and private‐sector
healthcare stakeholders across the country.
The Aims of the NQS are threefold:
Better Care: Improve the overall quality by making health care more patient‐centered,
reliable, accessible, and safe.
Healthy People/Healthy Communities: Improve the health of the U.S. population by
supporting proven interventions to address behavioral, social, and environmental
determinants of health in addition to delivering higher‐quality care.
Affordable Care: Reduce the cost of quality health care for individuals, families,
employers, and government.
To align with this, CMS has set goals for their Quality Strategy. These include:
• Make care safer by reducing harm caused in the delivery of care
– Improve support for a culture of safety
– Reduce inappropriate and unnecessary care
– Prevent or minimize harm in all settings
• Strengthen person and family engagement as partners in their care
• Promote effective communication and coordination of care
• Promote effective prevention and treatment of chronic disease
• Work with communities to promote best practices of healthy living
• Make care affordable
CMS’s vision states that if we can find better ways to pay providers, deliver care, and distribute
information than patients can receive better care, health dollars are spent more wisely, and
there are healthier communities, a healthier economy, and a healthier county. It is with this in
mind that they have created multiple quality payment programs.
In January 2015, the Department of Health and Human Services made an announcement that
set in place measurable goals and a timeline to move the Medicare program towards paying
providers based on the quality of care rather than the quantity. This was the first time in the
history of the program that explicit goals were set. They invited private sector payers to match
or exceed these goals as well. These goals included:
1. Alternative Payment Models
a. 30% of Medicare payments tied to quality or value through Alternative Payment
models by the end of 2016 and 50% by the end of 2018
2. Linking Fee‐For‐Service payments to Quality/Value
a. 85% of all Medi ...
The Medicare and Medicaid EHR Incentive Programs offer financial incentives for the
“meaningful use” of certified EHR technology to improve patient care. Read More.. www.curemd.com
The Medicare Access and CHIP Reauthorization Act of 2015 is fundamentally transitioning the U.S. Healthcare System from a Fee-For-Service model to a Fee-For-Value reimbursement model. MACRA encourages healthcare providers to utilize HIT, population health management, and care coordination in pursuit of The Triple Aim (Improving individual healthcare quality, improving population health , and reducing cost).
The Medicare Aaccess and CHIP Reauthorization Act of 2015 establishes two Quality Payment Programs to transition the U.S. Healthcare System from a Fee-For-Service reimbursement methodology to a Fee-For-Value model. MACRA fundamentally adjusts the Medicare Fee Schedule, forcing healthcare providers to utilize HIT, population health management, and care coordination to receive financial rewards.
A Clinically Integrated Network (CIN) is a selective partnership of physicians collaborating with
hospital(s) and other providers to deliver evidence-based care, improve quality and efficiency,
manage populations and demonstrate value to the market. Once these objectives are met, the network may contract on behalf of participants
How Providers Can Reshape their Operations to Master Value-Based ReimbursementsCognizant
Healthcare providers must make sweeping system, process and operational changes to thrive under the inevitable move to value-based payments. Here are our recommendations on how to get started.
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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http://innovation.cms.gov
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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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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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CMS Innovation Center
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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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CMS Innovation Center
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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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CMS Innovation Center
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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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CMS Innovation Center
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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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More from Centers for Medicare & Medicaid Services (CMS) (20)
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
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.
Canadian Immigration Tracker March 2024 - Key SlidesAndrew Griffith
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Study permit applications experiencing sharp decrease as a result of announced caps over 50 percent compared to February.
Citizenship numbers remain stable.
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What is the point of small housing associations.pptxPaul Smith
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Webinar: Comprehensive Primary Care Plus - Interested Payer Overview
1. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
Comprehensive Primary Care Plus
Advancing the Delivery of
and Payment for Primary Care
Information for Payers
1
2. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
3Ach
sm
1A
c
Three Main Goals Underlie CPC+
dvance care delivery and payment to allow practices to provide more
omprehensive care that meets the needs of all patients, particularly those
with complex needs.
2Accommodate practices at different levels of transformation readiness
through two program tracks, both offered in every region.
ieve the Delivery System Reform core objectives of better care,
arter spending, and healthier people in primary care.
5
Years
Beginning 2017, progress
monitored quarterly
Up to 20
Regions
Selection based on payer
interest and coverage
2
3. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
Multi-Payer Partnership
Essential for Primary Care Reform
Multi-payer engagement is an essential component of CPC+
Support from any one payer covers only a portion of a practice’s population
True comprehensive primary care possible only with the support of multiple payers
In CPC+, CMS will partner with payers that share Medicare’s interest in strengthening
primary care to achieve the aim of better care, smarter spending, and healthier people.
3
4. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
Multi-Payer
Collaboration in CPC
Since 2012, Comprehensive Primary Care (CPC) initiative brings
together Medicare fee-for-service and 38 payer partners across 7
regions to support primary care practice transformation
• 95% of payers continue to partner in CPC into its 4th year
• Lines of business: commercial, Medicare Advantage, Medicaid
managed care, self-insured clients (TPA/ASO)
• Partnership with 4 State Medicaid agencies
5. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
Why Should Payers Partner with
Medicare in CPC+?
Investment in Primary Care Can
Improve Quality, Reduce Total Cost of Care
Patient
Population
Investment in
Comprehensive
Primary Care
Avoidance of unnecessary
utilization and cost
There is abundant evidence that improved care and improved patient experience can be
delivered by modest investments in primary care. CPC+ strategically invests in the kind of
primary care most likely to have a favorable impact on total cost of care and aligning
payment incentives to reward value rather than volume.
5
6. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
Medicare Will Align with Public
and Private Payer Partners
CMS is soliciting interested payer partners: April 15 – June 1, 2016
CPC+
Practices
Medicare
FFS
Public
employee
plans
Medicaid/
CHIP state
agencies
6
Commercial
insurance
plans
Medicare
Advantage
plans
Medicaid/
CHIP
managed
care plans
Admins of
self-insured
groups
Self-insured
businesses
7. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
CPC+ Logic Model
7
8. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
CPC+ Aligned Payer Approach
For each payer in the model, these elements need not be identical, but should
be oriented so that the practice incentives and goals match those of the model.
Financial
1. Commit to pursuing private arrangements
with practices participating in both Tracks 1
and 2 of CPC+ for the model’s full duration.
2. Share attribution methodologies with CMS.
3. Provide a care management fee or similar
payment to allow practices to meet the aims
of the care delivery model.
4. Change the cash flow mechanism from fee-
for-service to at least a partial alternative, in
whatever arrangement the payer favors,
before the end of the first performance year
to support Track 2 practices.
5. Offer an opportunity for a performance-
based incentive payment.
Quality Measurement
6. To the greatest extent possible, align
practice quality and performance
measures with the model.
Data Sharing
7. Supply participating practices with
practice- and patient-level cost and
utilization data for their attributed
patients via reports or other methods
of data sharing at regular intervals
(e.g., quarterly).
Model Assessment
8. Describe monitoring, auditing, and
evaluation report, and share data with
CMS under 42 C.F.R. 403.1110.
8
9. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
1 Participation in Both Program Tracks
CMS will solicit applications from practices within the regions chosen, beginning
July 15, 2016, with applications due by September 1, 2016 at 11:59pm ET.
9
Up to 2,500 primary
care practices.
Choice for practices poised to increase the
comprehensiveness of care through enhanced
health IT, improve care of patients with
complex needs, and inventory resources and
supports to meet patients’ psychosocial needs.
Track
2
Track
1
Choice for practices ready to build the
capabilities to deliver comprehensive
primary care.
.
Up to 2,500 primary
care practices.
10. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
2 Attribution Methodology
Medicare Approach
• Prospective alignment methodology to identify
Medicare FFS beneficiaries attributed to CPC+
practices
• Methodology attributes beneficiaries to the
practice that billed for the plurality of their
primary care allowed charges during the most
recent 24-month period
• CMS will give CPC+ practices a list of attributed
beneficiaries prior to January 2017 and each
performance year thereafter
• Attributed beneficiaries are free to select the
clinicians and services of their choice
Aligned Payer Approach
• Partner payers may use Medicare’s
attribution methodology or describe their
own approach to identifying members
served by CPC+ practices.
• CMS is interested in knowing attribution:
• Timing
• Frequency
• Approach for notifying practices
10
11. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
3 Enhanced Non-Fee-For-Service
Support
Medicare Approach
Medicare Care Management Fee:
• Offer non-fee-for-service support to
allow Track 1 and 2 practices to
provide care management, care
coordination, and similar
“wraparound” services to all
patients, agnostic of payer.
• Increase support for Track 2
compared to Track 1 to reflect
advancement in practice transformation
and care of patients with complex
needs.
Track 1 Track 2
Risk
Methodology
HCC risk scores
HCC risk scores;
claims data for
high-risk
diagnoses
Number of
Risk Tiers
4 5
PBPM
Amount
$15 average
($6 to $30)
$28 average
($9 to $100)
Purpose
Staffing and training related to the
model requirements, according to
the needs of the attributed
Medicare patient population
Aligned Payer Approach
11
12. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
4 Alternative to FFS for Track 2 Practices:
Medicare and Payer Alignment
Medicare Approach
Medicare Hybrid FFS and
“Comprehensive Primary Care Payment” (CPCP):
• Based on past E&M payments - increased 10%
• Paid upfront and partially reconciled
• FFS E&M reduced proportionately
• Practices select the pace of transition to one of two
hybrid payments
• Compensates for traditional clinical care yet allows
flexibility for care delivery in/outside an office visit
FFS
FFS
60%
CPCP
40%
FFS
35%
CPCP
65%
OR
2016 2019
Aligned Payer Approach
• By the end of the first performance year,
change the cash flow mechanism for
reimbursing practices via at least a partial
alternative to traditional FFS payment.
– Examples: partial, full, or sub-
capitation without downside risk,
episodic payment, etc.
• Goals:
– Compensate for proactive,
comprehensive care previously
require to be furnished in an office
setting.
– Allow practices to provide care in a
way that best meets patient needs,
including by email, phone, patient
portal, or other alternative visit
modalities.
12
13. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
5 Performance-Based Incentive Payment
Medicare Approach
Practices at risk for two prospectively paid practice-level
performance components; incentives partially or wholly
reconciled retrospectively based on performance
Clinical quality and patient experience
• Track 1: $1.25 PBPM
• Track 2: $2.00 PBPM
• Examples: eCQMs, CAHPS
Utilization measures that drive total cost of care
• Track 1: $1.25 PBPM
• Track 2: $2.00 PBPM
• Examples: inpatient admissions, ED visits
• Must pass quality benchmark to receive
Aligned Payer Approach
• Track 1 and 2 practices have the ability
to qualify for performance-based
incentive payments, based on a
combination of utilization, cost of care,
and/or quality metrics.
• Approaches could include shared
savings, bonuses, or other financial
arrangements, either prospectively or
retrospectively.
13
14. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
6 Quality and Performance Measures
Medicare Approach
Medicare will use quality and patient experience
measures to identify gaps in care, target quality
improvement activities, and assess quality performance:
1. Electronic clinical quality measures (eCQMs)
2. Patient experience of care (CAHPS) surveys
fielded by CMS or its contractors
• Practices will annually report a subset of eCQMs
• Practices must use EHR technology that meets the
certification requirements specified in the Medicare
EHR Incentive Program final rule.
• Final CPC+ measures TBA by November 2016.
Aligned Payer Approach
Payers are encouraged to align quality and
patient experience measures with Medicare and
other payers in the region.
CMS has aligned its quality reporting programs
to reduce provider reporting burden by
choosing eCQMs which:
• Focus on a primary care population
• Encompass many National Quality Strategy
domains
• Are included in other CMS quality
reporting programs
CMS included many recommended measures
from the Core Quality Measures Collaborative
Workgroup measure set
14
15. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
Tentative CPC+ Quality Measure Set
• CPC practices must
meet the certified
Health IT
requirements in order
to report measures.
• The final list of
measures will be
determined no later
than November 2016.
• Providers will be
required to report a
subset of these
measures.
CMS ID# NQF# MEASURE TITLE
MEASURE TYPE/ DATA
SOURCE
CLINICAL PROCESS/EFFECTIVENESS (9)
CMS159v5 0710 Depression Remission at Twelve Months Outcome/ECQM
CMS165v5 0018 Controlling High Blood Pressure Outcome/ECQM
CMS131v5 0055 Diabetes: Eye Exam Process/ECQM
CMS149v5 N/A Dementia: Cognitive Assessment Process/ECQM
CMS127v5 0043 Pneumococcal Vaccination Status for Older Adults Process/ECQM
CMS137v5 0004
Initiation and Engagement of Alcohol and other Drug Dependence
Treatment
Process/ECQM
CMS125v5 2372 Breast Cancer Screening Process/ECQM
CMS124v5 0032 Cervical Cancer Screening Process/ECQM
CMS130v5 0034 Colorectal Cancer Screening Process/ECQM
PATIENT SAFETY (3)
CMS156v5 0022 Use of High-Risk Medications in the Elderly Process/ECQM
CMS139v5 0101 Falls: Screening for Future Falls Risk Process/ECQM
CMS68v6 0419 Documentation of Current Medications in the Medical Record Process/ECQM
POPULATION/PUBLIC HEALTH (4)
CMS2v6 0418
Preventive Care and Screening: Screening for Depression and
Follow-Up Plan
Process/ECQM
CMS122v5 0059 Diabetes: Hemoglobin HbA1c Poor Control (>9%) Outcome/ECQM
CMS138v5 0028
Preventive Care and Screening: Tobacco Use: Screening and
Cessation Intervention
Process/ECQM
CMS147v6 0041 Preventive Care and Screening: Influenza Immunization Process/ECQM
EFFICIENT USE OF HEALTHCARE RESOURCES (1)
CMS166v6 0052 Use of Imaging Studies for Low Back Pain Process/ECQM
CARE COORDINATION (1)
CMS50v5 N/A Closing the Referral Loop: Receipt of Specialist Report Process/ECQM
15
16. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
CPC+ and the Alternative
Payment Model (APM) Framework
Track 1 Track 2
16
17. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
7 Data Feedback to CPC+ Practices
Medicare Approach
Medicare will provide cost and utilization data
on attributed Medicare FFS beneficiaries,
including:
• Historical cost and utilization
• Quarterly reports on services and
financial expenditures
• Annual per-capita expenditure and quality
reports on a beneficiary level
Medicare is committed to participating in multi-
payer data aggregation, if available in a region
Aligned Payer Approach
Payers are encouraged to align with Medicare and
other regional payers on the structure, format, and
schedule of sharing data with practices, including:
• Data on cost, utilization, and quality
• Distributed at regular intervals
• At the practice population and member-levels
for all members attributed to CPC+ practices
• With guidance to help practices use these data
Payers may also propose a common platform for
sharing data with practices through an existing multi-
payer database, payer health information exchange,
or other capable data system within a region.
17
18. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
8 Monitoring, Auditing, and Evaluation
Medicare Approach
Monitoring
CMS will use data from various sources to help ensure that
practices understand their progress towards meeting care
delivery requirements and highlights opportunities for additional
learning activities.
Auditing
CMS will use program integrity data to ensure practice
compliance with the terms of the Participation Agreement and
highlight noncompliant practices for heightened CMS scrutiny.
Evaluation
CMS will contract with an independent evaluator that will use
mixed-methods approach, for each track to evaluate:
• Implementation: How the model was implemented,
assessing barriers and facilitators to change.
• Impact: The degree to which each track improved key
outcomes, including lower total cost of care and improved
quality of care.
Aligned Payer Approach
• Share with CMS the proposed
monitoring and evaluation strategy
to track practice progress in
implementing CPC+ as well as
assessing changes in cost of care,
quality improvement, and patient
experience of care.
18
19. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
Opportunities for Stakeholder
Learning, Collaboration, and Support
Web-based platform for CPC+ stakeholders
to share ideas, resources, and strategies for
practice transformation.
National webinars and annual
National Stakeholder Meeting
• Cross-region collaboration.
Virtual and in-person regional
learning sessions
• Engagement with CPC+
stakeholders.
• Outreach and support from
regional learning faculty.
Learning Communities
19
CPC+ Practice Portal
Online tool for reporting,
feedback, and assessment on
practice progress.
20. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
CPC+ Region Selection
What is a region?
Overlapping, contiguous geographic locales covered
by multiple payers interested in partnering in CPC+
How will CMS choose up to 20 regions?
Choice will be contingent upon market penetration by
interested payers and payer alignment with the CPC+ model
• Aim for geographic diversity
• Existing CPC regions will be included in CPC+,
contingent on payer support
• Preference for MAPCP and SIM Model Test states
where Medicaid is a participating payer
• All regions with Medicaid partnership receive extra points
in proposal scoring
20
21. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
Timeline for Partner Payers
April 2016
Payers respond to the CPC+ Payer Solicitation and outline their covered lives,
geographic scope, and commitment to aligning with CPC+
July 2016
CMMI makes a determination of which regions have sufficient payer interest –
both in covered lives and in alignment of proposals. CMS signs MOUs with
those payers. The practice application opens in selected regions.
October 2016: Practice participants are selected
January 1, 2017
CPC+ goes live; payers begin aligned payment and support for participating
practices
December 2017
Deadline for all payers to align with the Track 2 departure from traditional FFS
1
2
4
5
3
21
22. Center for Medicare & Medicaid InnovationComprehensive Primary Care Plus
For More Information on CPC+
Visit
https://innovation.cms.gov/initiatives/
Comprehensive-Primary-Care-Plus
for Payer Solicitation, Payer MOU, FAQs
Email
CPCplus@cms.hhs.gov
22