Innovation Models

`ACO%Accountable Care%Not Applicable%$state%ACOs are groups of clinicians, hospitals, and other health-care providers that choose to come together to deliver coordinated, high-quality care to the Medicare patients they serve.%Accountable Care, ACOs, Accountable Care Organizations (ACOs): General Information, Medicare, coordinated care, integrated care, managed care, Shared Savings Program, Medicare Shared Savings Program, Pioneer ACO Model, Advance Payment ACO Model`Advance-Payment-ACO-Model%Accountable Care%Ongoing%NC,KY,NH,FL,TX,RI,TN,CA,MA,MD,MS,CT,IN,AR,MO,OH,NE%The Advance Payment ACO Model is providing upfront and monthly payments to 35 ACOs participating in the Medicare Shared Savings Program.%Accountable Care, ACOs, Advance Payment ACO Model, Accountable Care Organizations (ACOs), rural, Medicare, Shared Savings Program, prospective payment`comprehensive-ESRD-care%Accountable Care%Accepting Letters of Intent, Accepting Applications% %The Comprehensive ESRD Care initiative is a new initiative designed to improve care for beneficiaries with ESRD while lowering Medicare costs.%comprehensive esrd care initiative, accountable care, esrd`Medicare-Health-Care-Quality%Accountable Care%Ongoing% %The Medicare Health Care Quality Demonstration is testing major changes to improve quality of care while increasing efficiency across an entire health care system.%Accountable Care, Medicare Health Care Quality Demonstration, Medicare`Nursing-Home-Value-Based-Purchasing%Accountable Care%Ongoing% %Nursing Home Value-Based Purchasing Demonstration provides incentive payment awards to participating nursing homes that perform the best or improve the most in terms of quality..%Accountable Care, Nursing Home Value-Based Purchasing Demonstration, Medicare, Medicaid`Physician-Group-Practice-Transition%Accountable Care%No Longer Active% %A precursor to the Medicare Shared Savings Program, the Physician Group Practice Transition Demonstration rewarded groups for efficient and high quality care.%Accountable Care, Medicare Physician Group Practice Demonstration, Shared Savings Program, Medicare, Physician Group Practice Transition Demonstration`Pioneer-ACO-Model%Accountable Care%Ongoing%MN,MA,AZ,ME,WI,MA,CA,NH,MN,IN,MI,FL,NY,IL,CO,TX,NM,PA,IA%The Pioneer ACO Model is rewarding 32 groups of health care providers experienced in working together to coordinate care.%Accountable Care, ACOs, Pioneer ACO Model, Accountable Care Organizations (ACOs), Shared Savings Program, alligned beneficiaries, quality metrics, coordinated care, quality measures, Medicare`PACE%Accountable Care%Ongoing% %This demonstration is studying the quality and cost of providing PACE program services under the Medicare and Medicaid Programs.%Accountable Care, Private For-Profit Demo Project for the Program of All-Inclusive Care for the Elderly (PACE), PACE, Medicare`Rural-Community-Hospital%Accountable Care%Ongoing% %The Rural Community Hospital Demonstration is testing the feasibility and advisability of providing reasonable cost reimbursements for small rural hospitals.%Accountable Care, Rural Community Hospital Demonstration, Medicare, rural`BPCI-Model-1%Bundled Payments for Care Improvement%Participants Announced% %The Bundled Payments for Care Improvement Initiative bundles payment for an episode of care. In Model 1, retrospective bundled payments are made for acute care hospital stays only.% Bundled Payments for Care Improvement, Bundled Payments for Care Improvement (BPCI) Initiative, BPCI, BPCI Model 1: Retrospective Acute Care Hospital Stay Only, Medicare `BPCI-Model-2%Bundled Payments for Care Improvement%Participants Announced% %The Bundled Payments for Care Improvement Initiative bundles payment for an episode of care. In Model 2, retrospective bundled payments are made for acute care hospital stay plus post-acute care.%Bundled Payments for Care Improvement, Bundled Payments for Care Improvement (BPCI) Initiative, BPCI Model 2: Retrospective Acute & Post Acute Care Episode, BPCI, Medicare`BPCI-Model-3%Bundled Payments for Care Improvement%Participants Announced% %The Bundled Payments for Care Improvement Initiative bundles payment for an episode of care. In Model 3, retrospective bundled payments are made for post-acute care only.%Bundled Payments for Care Improvement, Bundled Payments for Care Improvement (BPCI) Initiative, BPCI, BPCI Model 3: Retrospective Post Acute Care Only, Medicare`BPCI-Model-4%Bundled Payments for Care Improvement%Participants Announced% %The Bundled Payments for Care Improvement Initiative bundles payment for an episode of care. In Model 4, prospective bundled payments are made for acute care hospital stays only.%Bundled Payments for Care Improvement, Bundled Payments for Care Improvement (BPCI) Initiative, BPCI, BPCI Model 4: Prospective Acute Care Hospital Stay Only, Medicare`Bundled-Payments%Bundled Payments for Care Improvement%Not Applicable% %The Bundled Payments for Care Improvement intitiative evaluates 4 different models of bundled payments for a defined episode of care to incentivize care redesign.%Bundled Payments for Care Improvement, Bundled Payments for Care Improvement (BPCI) Initiative: General Information, BPCI, Medicare, prospective payment, BPCI Model 1: Retrospective Acute Care Hospital Stay Only, BPCI Model 2: Retrospective Acute & Post Acute Care Episode, BPCI Model 3: Retrospective Post Acute Care Only, BPCI Model 4: Prospective Acute Care Episode`ACE%Bundled Payments for Care Improvement%Ongoing% %The Acute Care Episode (ACE) Demonstration is testing the effect of bundling Part A and B payments for episodes of acute care.%Bundled Payments for Care Improvement (BPCI), Medicare Acute Care Episode (ACE) Demonstration, Medicare, Value-Based Care Centers`Medicare-Hospital-Gainsharing%Bundled Payments for Care Improvement%No Longer Active% %This demonstration is testing arrangements between hospitals and physicians designed to govern the utilization of inpatient hospital resources and physician work and improve operational hospital performance with the sharing of remuneration.%Bundled Payments for Care Improvement, Medicare Hospital Gainsharing Demonstration, rural, Medicare`Physician-Hospital-Collaboration%Bundled Payments for Care Improvement%Ongoing% %The Physician Hospital Collaboration Demonstration is examining the effects of gainsharing aimed at improving the quality of care being delivered.%Bundled Payments for Care Improvement, Physician Hospital Collaboration Demonstration, Medicare`Comprehensive-Primary-Care-Initiative%Primary Care Transformation%Ongoing%NY,NJ,CO,OK,AR,OH,OR,KY%The CPC Initiative is a multi-payer initiative providing financial support to primary care practices in 7 markets.%Primary Care Transformation, Comprehensive Primary Care Initiative, Medicare, managed care, multi-payer`FQHCs%Primary Care Transformation%Ongoing%WA,WI,CA,GA,LA,IL,WV,KY,ID,NH,AK,NC,AR,MI,HI,MD,TX,SC,IA,MI,NM,MO,PA,MS,OH,NJ,NY,IN,MS,TN,SD,OR,VA,CO,NE,MT,FL,MA,CT,WY,MN,KY,RI,ND,ID,ME,AL,KS,OK,AL,OR%The Federally Qualified Health Center (FQHC) Advanced Primary Care Practice Demonstration is testing the efficiency of patient-centered medical homes among FQHCs.%Primary Care Transformation, Federally Qualified Health Center (FQHC), medical home, Medicare, managed care, Medicaid, dual eligibles, Medicare,FQHC Advanced Primary Care Practice Demonstration`Frontier-Extended-Stay-Clinic%Primary Care Transformation%Ongoing% %The Frontier Extended Stay Clinic Demonstration is allowing remote clinics to treat patients for more extended periods, including overnight stays, that are entailed in routine physician visits.%Primary Care Transformation, Frontier Extended Stay Clinic Demonstration, acute care, remote geographic areas`GNE%Primary Care Transformation%Ongoing%PA,NC,AZ,IL,TX%The Graduate Nurse Education Demonstration is supporting hospitals for the reasonable cost of providing clinical training to advanced practice registered nursing (APRN) training.%Primary Care Transformation, Graduate Nurse Education Demonstration, GNE, Advanced Practice Registered Nurses (APRNs), Medicare`Independence-at-Home%Primary Care Transformation%Ongoing%MA,DE,OH,NY,NC,OR,KY,TX,FL,GA,MI,IL,VA,WI%The Independence at Home Demonstration is supporting home-based primary care for Medicare beneficiaries with multiple chronic conditions.%Primary Care Transformation, Independence at Home Demonstration, Medicare, home-based care, chronic conditions`Medicare-Coordinated-Care%Primary Care Transformation%Ongoing% %The Medicare Coordinated Care Demonstration is testing whether providing coordinated care services to Medicare beneficiaries with complex chronic conditions can yield patient outcomes without increasing program costs.%Primary Care Transformation, Medicare Coordinated Care Demonstration, Medicare`Multi-Payer-Advanced-Primary-Care-Practice%Primary Care Transformation%Ongoing%ME,VT,RI,NY,PA,NC,MI,MN%In the Multi-Payer Advanced Primary Care Practice Demonstration, CMS is joining in multi-payer primary care initiatives that are currently being conducted within states.%Primary Care Transformation, Multi-payer Advanced Primary Care Practice Demonstration, medical home, APC, Medicaid, Medicare`Medicaid-Emergency-Psychiatric-Demo%Initiatives Focused on the Medicaid and CHIP Population%Ongoing%AL,CA,CT,DC,IL,ME,MD,MO,NC,RI,WA,WV%The Medicaid Emergency Psychiatric Demonstration is supporting treatment for psychiatric emergencies at private psychiatric hospitals in 11 states and the District of Columbia.%Initiatives Focused on the Medicaid and CHIP Population, Medicaid Emergency Psychiatric Demonstration, Medicaid, Children’s Health Insurance Program (CHIP)`MIPCD%Initiatives Focused on the Medicaid and CHIP Population%Ongoing%WI,MN,NY,NV,NH,MT,HI,TX,CA,CT%The Medicaid Incentives for the Prevention of Chronic Diseases Model is supporting 10 states providing incentives for Medicaid beneficiaries to participate in prevention programs and demonstrate changes in health risks and outcomes.%Initiatives Focused on the Medicaid and CHIP Population, Medicaid Incentives for the Prevention of Chronic Diseases Model, grants, managed care`Strong-Start-Strategy-1%Initiatives Focused on the Medicaid and CHIP Population%Ongoing% %The Strong Start effort to reduce early elective deliveries supports providers and mothers-to-be in their efforts to decrease the number of early elective deliveries and improve outcomes for mothers and infants.%Strong Start for Mothers and Newborns Initiative, Initiatives Focused on the Medicaid and CHIP Population, Medicaid, Children's Health Insurance Program (CHIP), Partnership for Patients`Strong-Start-Strategy-2%Initiatives Focused on the Medicaid and CHIP Population%Participants Announced%AK, AL, AR, AZ, CA, CT, DC, FL, GA, IL, KY, LA, MD, MI, MN, MO, MI, MS, MT, NC, NE, NJ, NM, NV, NY, OK, OR, PA, PR, SC, TN, TX, VA, WI, WV%This initiative will test three evidence-based maternity care service approaches that aim to improve the health outcomes of pregnant women and newborns.%Strong Start for Mothers and Newborns Initiative, Initiatives Focused on the Medicaid and CHIP Population, Medicaid, Children's Health Insurance Program (CHIP)`Strong-Start%Initiatives Focused on the Medicaid and CHIP Population%Not Applicable% %Strong Start supports reducing elective deliveries prior to 39 weeks and offers enhanced prenatal care to decrease preterm births through awards to 27 organizations.%Initiatives Focused on the Medicaid and CHIP Population, Strong Start for Mothers and Newborns Initiative, Medicaid, Children's Health Insurance Program (CHIP), Partnership for Patients, general information`Financial-Alignment%Initiatives Focused on the Medicare-Medicaid Enrollees%Applications Under Review, Ongoing%MA, WA, OH, IL, CA%Enables states to integrate care and payment systems for Medicare-Medicaid enrollees and better coordinate their care.%Initiatives Focused on the Medicaid-Medicaid Enrollees, Financial Alignment Initiative, dual eligibles, Medicare, Medicaid, Medicare-Medicaid enrollees, Financial Alignment Initiative for Medicare-Medicaid Enrollees`rahnfr%Initiatives Focused on the Medicare-Medicaid Enrollees%Ongoing% %Offers enhanced clinical services to beneficiaries in extended-care nursing facilities.%Initiatives Focused on the Medicaid-Medicaid Enrollees, Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents, Partnership for Patients, Medicare-Medicaid enrollees, dual eligibles, Medicaid, Medicare`Health-Care-Innovation-Awards%Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models%Ongoing%MA,TX,NJ,MN,SD,NC,GA,PA,OR,MD,VA,DC,RI,CT,VT,NM,WA,CA,NH,NE,IL,NY,OH,CO,TN,MI,WI,DE,AR,MO,SC,FL,HI,MT,WY,UT,ID,ME,IA,OK,AZ,IN,ND,AK,NV,ND,AL,PR,OR,KS,KY,MS,WV,ID,LA%The Health Care Innovation Awards are funding competitive grants to compelling new ideas that deliver health care at lower costs to people enrolled in Medicare, Medicaid and, CHIP.%Health Care Innovation Awards, Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models, Medicare, Medicaid, Children's Health Insurance Program (CHIP), CHIP, grants, HCIA, Challenge, managed care, community health, rural`State-Innovations%Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models%Not Applicable% %The State Innovation Models initiative is a $275 million competitive funding opportunity for States to design and test multi-payer payment and delivery models that deliver high-quality health care and improve health system performance.%Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models, Medicare, Medicaid, Children's Health Insurance Program (CHIP), CHIP, community health, Model Testing, Model Design, grants, State Innovation Models Initiative, general information`State-Innovations-Model-Design%Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models%Participants Announced%OH, DE, HI, RI, TX, CA, IA, ID, TN, MD, CT, NH, PA, UT, MI, IL%16 states are developing state-based models for multi-payer payment and health care delivery system transformation%State Innovation Models Initiative, State Innovation Models Initiative: Model Design Awards, Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models`State-Innovations-Model-Pre-Testing%Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models%Participants Announced%CO, NY, WA%3 states are further developing their state-based models for multi-payer payment reform and health care delivery system transformation%Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models, State Innovation Models Initiative: Model Pre-Testing Awards, State Innovation Models Initiative`State-Innovations-Model-Testing%Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models%Participants Announced%AR, ME, MA, MN, OR, VT%Six states are implementing, testing and evaluating a multi-payer health system transformation model that aims to deliver high quality care and improve health system performance for its residents%State Innovation Models Initiative, State Innovation Models Initiative: Model Testing Awards, Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models`CCTP%Initiatives to Speed the Adoption of Best Practices%Ongoing%CA,IL,NY,TX,AR,AZ,PA,MA,TX,CT,MI,OH,WA,MI,NE,GA,ME,FL,MN,NC,NJ,MI,CO,AL,IN,KY,KS%The Community-Based Care Transition Program is supporting community-based organizations to reduce readmissions by improving transitions of high-risk Medicare beneficiaries from the inpatient hospital setting to home or other care settings.%Speeding the Adoption of Best Practices, Partnership for Patients, Nationwide, Hospital-Acquired Conditions, Readmissions, CCTP, Community-Based Care Transitions Program, Medicare, Hospital Engagement Networks`Innovation-Advisors-Program%Initiatives to Speed the Adoption of Best Practices%Ongoing%MA,CA,NC,MD,WI,TN,DC,PA,RI,MN,MI,IL,NY,CO,KY,WA,VA,OH,LA,NH,UT,OR,WY,GA,CA,IA,NJ,HI,TX%The Innovation Advisors Program is supporting dedicated, skilled individuals in the health care system who can test new models of care delivery in their own organizations and work locally to improve the health of their communities.%Initiatives to Speed the Adoption of Best Practices, Innovation Advisors Program`Medicare-Imaging%Initiatives to Speed the Adoption of Best Practices%Ongoing% %Collects data regarding physician use of advanced diagnostic imaging services to determine the appropriateness of services in relation to medical specialty guidelines.%Initiatives to Speed the Adoption of Best Practices, Medicare Imaging Demonstration, MRI, computed tomography, CT scan, nuclear medicine`Million-Hearts%Initiatives to Speed the Adoption of Best Practices%Ongoing% %Million Hearts is a national initiative to prevent 1 million heart attacks and strokes over five years.%Initiatives to Speed the Adoption of Best Practices, Million Hearts, heart attacks, strokes, cardiovascular disease`Partnership-for-Patients%Initiatives to Speed the Adoption of Best Practices%Ongoing% %The Partnership for Patients is a nationwide public-private partnership that offers support to physicians, nurses and other clinicians working in and out of hospitals to reduce hospital-acquired conditions and readmissions.%Initiatives to Speed the Adoption of Best Practices, Partnership for Patients, Community-based Care Transitions Program, Hospital Engagement Networks (HENs), Hospital-Acquired Conditions, Care Transitions, Medicare, Readmissions