The CMS’ In­no­va­tion Cen­ter de­buts with four projects set to go

Modern Healthcare - - Front Page - Jes­sica Zig­mond

The CMS took its of­fi­cial first steps to­ward the agency’s goal of a co­or­di­nated health­care sys­tem last week when it launched the Cen­ter for Medi­care and Med­i­caid In­no­va­tion. Es­tab­lished in this year’s Pa­tient Pro­tec­tion and Af­ford­able Care Act (June 14, p. 6), the much-an­tic­i­pated “In­no­va­tion Cen­ter,” as it’s be­ing called, is meant to study new ways of de­liv­er­ing health­care and pay­ing providers that save money and im­prove qual­ity si­mul­ta­ne­ously.

The new cen­ter is “a cross­cut­ting re­source to test change and ac­cel­er­ate progress in pur­su­ing the goals of bet­ter care, bet­ter health and lower cost through im­prove­ment of care, fo­cus­ing on in­di­vid­u­als, in­te­gra­tion of care and pre­ven­tion,” CMS Ad­min­is­tra­tor Don­ald Ber­wick wrote in Se­nate Fi­nance Com­mit­tee tes­ti­mony for the record last week (See story, be­low). Dur­ing his Se­nate com­mit­tee ap­pear­ance, Ber­wick said the In­no­va­tion Cen­ter is im­por­tant be­cause it will en­cour­age lo­cal set­tings to de­vise the kind of co­or­di­nated care that works for them.

In an in­ter­view, Richard Gil­fil­lan, the act­ing di­rec­tor of the cen­ter, talked about the or­ga­ni­za­tion as an ex­plicit part of the Af­ford­able Care Act, and said he thought Congress be­lieved it was im­por­tant to cre­ate an or­ga­ni­za­tion that was con­sis­tent with its vi­sion of im­prov­ing pay­ment method­olo­gies over time. “In the past, the cy­cle time had been slow—they felt that it was im­por­tant to cre­ate a con­text and en­tity that would be more flex­i­ble and more nim­ble and help CMS and the fed­eral govern­ment learn quicker,” Gil­fil­lan said.

On a call with re­porters, Gil­fil­lan said work has al­ready be­gun. “We’re not just in a plan­ning process. As part of the launch, we’re an­nounc­ing four projects that have great prom­ise for pa­tients.”

The first of these pro­grams is a demon­stra­tion project to eval­u­ate the ef­fec­tive­ness of physi­cians and other health­care pro­fes­sion­als work­ing in a more in­te­grated way and re­ceiv­ing pay­ment from Medi­care, Med­i­caid and pri­vate health plans. Maine, Michi­gan, Min­nesota, New York, North Carolina, Penn­syl­va­nia, Rhode Is­land and Ver­mont were the eight states cho­sen to par­tic­i­pate in the demon­stra­tion, which will in­clude up to 1,200 med­i­cal homes serv­ing up to 1 mil­lion Medi­care ben­e­fi­cia­ries.

The CMS also an­nounced a demon­stra­tion to mea­sure the ef­fec­tive­ness of pro­fes­sion­als work­ing in teams to treat low-in­come pa­tients at fed­er­ally qual­i­fied com­mu­nity health cen­ters; the In­no­va­tion Cen­ter will con­duct the demon­stra­tion in up to 500 of these fa­cil­i­ties and pro­vide co­or­di­nated care for up to 195,000 peo­ple with Medi­care.

Med­i­caid as well as dual ben­e­fi­cia­ries are the fo­cus of the re­main­ing two projects. The first, au­tho­rized by the Af­ford­able Care Act, is a state plan op­tion that would al­low

Gil­fil­lan: First four projects “have great prom­ise for pa­tients.”

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.