CMS Announces Innovation Model for Rural Health Care

The Centers for Medicare & Medicaid Services (CMS) Innovation Center has announced a new model of health care delivery designed to increase access and quality of care to rural beneficiaries, while increasing rural provider’s financial sustainability. The Community Health Access and Rural Transformation (CHART) Model provides funding, regulatory and operational flexibilities, and technical assistance for…

CMS to Host Pain Management Study Listening Session

The Centers for Medicare & Medicaid Services (CMS) will hold pain management study webinar on Thursday, August 27, 2020 from 1:30-3:00PM Eastern for clinicians and state and national associations that represent health care providers Significant legislation signed into law in late 2018 (The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities…

CMS Modifies Innovations Models in Response to COVID-19 Public Health Emergency

On June 2, 2020, the Centers for Medicare & Medicaid Services (CMS) announced plans to modify aspects of various innovations models being administered by the Centers for Medicare & Medicaid Innovation (CMMI) in response to COVID-19 public health emergency (PHE).  As part of its announcement CMS issued a table containing specific model adjustments related to…

CMS Outlines Planned Payment for Hospice Medicare Advantage Coverage under VBID Test

In CY2021 the Centers for Medicare & Medicaid Services (CMS) plans to test coverage of hospice as part of the Medicare Advantage (MA) benefit package through its ongoing Value-Based Insurance Design (VBID) model. (See this NAHC Report article for more information.)  A December 2019 Request for Applications (RFA) outlining of the model, participating plans must…

House Legislation Takes Aim at CMMI Models

Bill Presses for Greater Transparency, Strengthened Oversight Key members of two House committees with jurisdiction over Medicare and Medicaid have introduced legislation to increase oversight and accountability of the Centers for Medicare & Medicaid Innovation (CMMI). CMMI is the division of the Centers for Medicare & Medicaid Services (CMS) having broad authority to test innovative…

CMMI to Host Part 2 of Direct Contracting Model Options Payment Webinar

This webinar is a follow-up to the January 22 webinar The Center for Medicare and Medicaid Innovation (CMMI) will host an office hours session on February 11, 2020 as a follow-up to the Direct Contracting Model Options Payment Part 2 Webinar on January 22nd to present and answer questions on the Direct Contracting model’s payment…

CMMI Releases Second Annual Report on Home Health Value Based Purchasing

The Centers for Medicare and Medicaid Innovations (CMMI) has issued the second annual report on the Home Health Value Based Purchasing (HHVBP) program. The report reflects the performance of participating agencies and non- participating agencies (as a comparison group) for calendar years 2016 and 2017. The total points scores (TPS) for agencies in HHVBP states…

Legislation to Extend Key Home Care Programs Proposed in Senate

Bipartisan leadership of the Senate Finance Committee has announced proposed legislation providing for the extension of several programs within Medicare and Medicaid. Commonly referred to as an “extenders package” the legislation provides for the continuation of programs that are currently on track to exhaust their current funding allocation. Notable to home care and hospice providers…

CMMI to Host Direct Contracting Model Options Payment Webinar

The Center for Medicare and Medicaid Innovation (CMMI) will host a webinar on January 15, 2020 from 1:00 PM to 3:00 PM EST to provide an overview of the Direct Contracting model’s payment methodology. REGISTER HERE. During the session, the Direct Contracting model team will present on key aspects of the Direct Contracting financial model,…

CMS to Host Important Overviews on Direct Contracting Models

The Center for Medicare and Medicaid Innovation (CMMI) will host two events on direct contracting models on January 7 and January 8, intending to provide an overview of the topic and answer questions about the model. In spring 2019, the Centers for Medicare & Medicaid Services (CMS) announced plans to test Direct Contracting models through…