CMS Innovation Center

Humana Set Up to Be Largest Home-Based Care Provider Approved for Direct Contracting

Once its 100% acquisition of Kindred at Home is finalized, Humana Inc. (NYSE: HUM) believes it will become one of the premier home health care providers in the entire country. It certainly has the resources to be just that. That’s partly because the payer-provider hybrid is also directly contracting with traditional Medicare through the Global …

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New CMMI Director Liz Fowler: US at ‘Really Critical Juncture’ on Path to Value-Based Care

The U.S. health care system has hit a defining moment in its shift toward value-based care, with the major decision in 2021 being an aggressive acceleration or cautious slowdown of the nation’s portfolio of alternative payment models. Liz Fowler, the new head of the Center for Medicare and Medicaid Innovation (CMMI), has been thinking about …

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National Expansion of Home Health Value-Based Purchasing Model Estimated to Create $6.3B in Savings

In somewhat of a surprise move, U.S. health care policymakers unveiled plans last week to expand the Home Health Value-Based Purchasing (HHVBP) Model, a nine-state Medicare demonstration designed to better align reimbursement to quality of care. Despite backing from most of the home health industry, the HHVBP Model — first implemented in 2016 — had …

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CMS Announces New Direct-Contracting Model to Promote ‘Easier Access to Home Care’

In April 2019, federal health care officials unveiled a new direct-contracting payment model to accelerate the shift toward value-based care for U.S. primary care providers. The goal of that model — which has 51 entities already signed up — was to bring a private-sector approach to risk-sharing arrangements in traditional Medicare. The U.S. Centers for …

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CMS Direct Contracting Model Options for Value-Based Care

Vanessa Kuhn, Director of Health Policy, PatientPing The Centers for Medicare and Medicaid Innovation (CMMI) created the Direct Contracting Model to expand opportunities for more diverse providers and healthcare organizations to participate in value-based care arrangements for Medicare fee-for-service (FFS) beneficiaries. The goal of the new model is to create the next generation of risk-sharing …

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Home Health Value-Based Purchasing Model Set for Nationwide Expansion in ‘Next Year or So’

The Center for Medicare & Medicaid Innovation (CMMI) is in need of a “course correction,” top U.S. health care officials believe. And part of that may include a national expansion of the Home Health Value-Based Purchasing Model. Created under the Affordable Care Act, CMMI — also known as the CMS Innovation Center — supports the …

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How ADT-Based E-Notifications Can Enable Better Safety for COVID-19 Patients

Jay Desai, CEO & Co-Founder, PatientPing As COVID-19 continues to impact the country, providers across the continuum face new challenges delivering care and ensuring safety for their patients and themselves.  During this period, sharing real-time information about patients’ care encounters across provider types and care settings matter more than ever. In particular, hospitals sharing admission, …

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