The Future of the Center for Medicare & Medicaid Innovation

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Summary

On April 24, 2018, Avalere experts were joined by Aledade CEO, Farzad Mostashari, MD, to discuss the latest developments coming out of the Center for Medicare & Medicaid Innovation (CMMI).
Please note: This is an archived post. Some of the information and data discussed in this article may be out of date. It is preserved here for historical reference but should not be used as the basis for business decisions. Please see our main Insights section for more recent posts.

The webinar featured:

  • Erica Breese, Director, Health Plans & Providers
  • John Feore, Director, Center for Healthcare Transformation
  • Josh Seidman, Senior Vice President, Center for Healthcare Transformation

The discussion focused on the following topics:

  • Medicare Accountable Care Organization (ACO) performance to date
  • The path ahead for Medicare alternative payment models (APMs)
  • Outlook for the bundled payment programs

Medicare ACO Performance to Date

The panelists discussed Avalere’s  recent analysis of the Medicare Shared Savings Program (MSSP) and select CMMI demonstration programs, which found that the models vary in their budgetary impact, but generally show quality improvement.

The Path Ahead for Medicare APMs

Mostashari noted that Azar is not afraid to “shake things up” and will continue to push for and accelerate value-based care. Mostashari went on to say that he expects to see reduced availability of one-sided risk models so that providers must assume responsibility for cost.

Outlook for Bundled Payment Programs

Today’s bundled payment programs are mostly voluntary, so Avalere experts expect more sophisticated organizations to participate. Going forward, CMS is likely to experiment with new types of bundles, including those for chronic conditions.

Listen to the archived webinar here.

For more information about ACOs and the future of CMMI, connect with us.

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