[{"Title":"Evaluation of the Usefulness of Practice Feedback Reports (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/files\/reports\/practice-feedback-reports.pdf","Month of Publication":"November","Year of publication":"2012","Abstract":"The Centers for Medicare \u0026 Medicaid Services (CMS) contracted with Research Triangle Institute (RTI) to conduct a study of medical homes that have been recognized by the National Committee for Quality Assurances Physician Practice Connections\u00c3\u2020 - Patient-Centered Medical Home (PPC-PCMH) Recognition Program. The study analyzed the relationship between medical home attributes and patterns of health care quality, utilization, and cost for Medicare fee-for-service (FFS) beneficiaries receiving their health care services from PCMHs, compared with physician practices that were not NCQA-recognized. As an incentive for participation in the study, RTI developed a \u00c3\u00acPractice Feedback Report\u0022 containing practice-level data on patterns of care, health outcomes, and costs of care for their Medicare FFS patients. The feedback reports were given to the 312 practices that agreed to participate in the study.","Keywords":"Evaluation of the Usefulness of Practice Feedback Reports, Patient-Centered Medical Homes (PCMH), Fee-for-service (FFS), practice feedback reports, quality of care,  Medicare, survey, report","Type":"Reports","Related Content":"Evaluation of the Usefulness of Practice Feedback Reports - Appendix (PDF) (https:\/\/innovation.cms.gov\/practice-feedback-reports-appendix.pdf)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"1"},{"Title":"Medication Therapy Management in Chronically Ill Population - Final Report (August 2013) (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MTM_Final_Report.pdf","Month of Publication":"August","Year of publication":"2013","Abstract":"This study aimed to identify the impact of 2010 Part D Medication Therapy Management (MTM) programs on Medicare beneficiaries\u0027 adherence, medication use, drug therapies and resource utilization associated with hospital and emergency room (ER) visits, medications, and costs. Although the same Part D MTM programs serve enrollees with a variety of chronic conditions, this study focused on high-cost, high-risk beneficiaries with congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD) and diabetes because these individuals stood to benefit significantly from MTM program interventions. Findings indicate that MTM programs substantially improved medication adherence and quality of prescribing for CHF, COPD and diabetes patients enrolled in 2010, particularly when CMRs were administered. There was a larger improvement in adherence to drug therapy for a chronic condition when that condition was targeted by MTM.","Keywords":"Medication therapy management (MTM), medication adherence, chronic conditions, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, Medicare Part D, report","Type":"Reports","Related Content":"Medication Therapy Management in Chronically Ill Population: Interim Report (January 2013) (PDF) (http:\/\/innovation.cms.gov\/Files\/reports\/MTM-Interim-Report-01-2013.pdf)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"2"},{"Title":"Master System of Records Notice: Center for Medicare \u0026 Medicaid Innovation (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/x\/SOR.pdf","Month of Publication":"January","Year of publication":"2014","Abstract":"In accordance with the requirements of the Privacy Act of 1974, CMS established a System of Records titled Master Demonstration, Evaluation, and Research Studies (DERS) for the Office of Research, Development and Information (ORDI), System No. 09 - 70 - 0591, which may serve as the Master system for all demonstrations, evaluation, and research studies administered by the Center for Medicare \u0026 Medicaid Innovation.","Keywords":"Privacy Act of 1974, Master System of Records Notice: Center for Medicare \u0026 Medicaid Innovation, SOR, System Of Records, Master System of Records, demonstrations, evaluation studies, research studies, Center for Medicare \u0026 Medicaid Innovation","Type":"Other","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"4"},{"Title":"Evaluation of the Medicaid Incentives for the Prevention of Chronic Diseases Model - First Report to Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MIPCD_RTC.pdf","Month of Publication":"November","Year of publication":"2013","Abstract":"Section 4108 of the Affordable Care Act mandated the creation of the Medicaid Incentives for Prevention of Chronic Diseases (MIPCD) program for States to develop evidence-based prevention programs that provide incentives to Medicaid beneficiaries to participate in and complete the MIPCD program. Ten states were awarded demonstration grants to implement chronic disease prevention approaches for their Medicaid enrollees to test the use of incentives to encourage behavior change. Consistent with the requirements of Section 4108 of the Affordable Care Act, the Centers for Medicare \u0026 Medicaid Services (CMS) awarded a contract to RTI International to conduct an independent, national evaluation of the 10 State programs. This report provides an interim evaluation of the effectiveness of the programs based on information provided by the States through their semi-annual reports and contains a recommendation regarding whether funding for expanding or extending the programs should be extended beyond January 1, 2016.","Keywords":"Evaluation of the Medicaid Incentives for the Prevention of Chronic Diseases Model, MIPCD, Section 4108, Medicaid, state, behavior change, incentives, special populations","Type":"Reports","Related Content":"Medicaid Incentives for the Prevention of Chronic Diseases Model (http:\/\/innovation.cms.gov\/initiatives\/MIPCD\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"5"},{"Title":"One Year of Innovation: Taking Action to Improve Care and Reduce Costs (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/Innovation-Center-Year-One-Summary-document.pdf","Month of Publication":"December","Year of publication":"2012","Abstract":"In the year since opening its doors, the Innovation Center\u0027s work is well underway. It has introduced 16 initiatives (see Table at end of report) involving over 50,000 health care providers that will touch the lives of Medicare and Medicaid beneficiaries in all 50 states and will continue to expand its partnerships and reach in the years to come. These initial efforts are focused on improving patient safety, promoting care that is coordinated across health care settings, investing in primary care transformation, creating new bundled payments for care episodes, and meeting the complex needs of those dually eligible for Medicare and Medicaid.","Keywords":"One Year of Innovation: Taking Action to Improve Care and Reduce Costs, coordinated care, primary care transformation, bundled payments, Medicare, Medicaid, report","Type":"Other","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"6"},{"Title":"Hospital Acquired Conditions (HAC) - Report to Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/x\/HospAcquiredConditionsRTC.pdf","Month of Publication":"December","Year of publication":"2012","Abstract":"The report describes the HAC program, summarizes the findings of the study that RTI International conducted under a contract with the Centers for Medicare \u0026 Medicaid Services (CMS), and presents the Secretary s recommendations. These recommendations include development of additional measures of conditions acquired in a variety of health care settings, in alignment with the National Quality Strategy and Inpatient Quality Reporting Program, and exploration of other payment policies that help reduce the occurrence of these conditions.","Keywords":"Hospital Acquired Conditions Payment Policy, Report To Congress, RTC, HAC, Section 3008, National Quality Strategy, Inpatient Quality Reporting Program, Inpatient Prospective Payment System (IPPS), Skilled Nursing Facility (SNF), healthcare settings, Medicare","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"7"},{"Title":"Nursing Home Value-Based Purchasing Demonstration Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/NursingHomeVBP_EvalReport.pdf","Month of Publication":"August","Year of publication":"2013","Abstract":"The Nursing Home Value-Based Purchasing (NHVBP) Demonstration is part of the Centers for Medicare \u0026 Medicaid Services\u00c3\u2021 (CMS) initiative to improve the quality of care for Medicare beneficiaries in nursing homes. The three-year demonstration tested the concept of value-based purchasing in nursing home settings in three states  -  Arizona, New York and Wisconsin. This report explores whether a performance-based reimbursement system focusing on key quality areas may have improved the quality of nursing home care while maintaining budget neutrality, based on the data available to the evaluation team at the time.","Keywords":"Nursing Home Value-Based Purchasing Demonstration, Medicare, nursing homes, performance-based reimbursement, care quality, budget neutrality, report","Type":"Reports","Related Content":"Nursing Home Value-Based Purchasing Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Nursing-Home-Value-Based-Purchasing\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"8"},{"Title":"Using Qualitative Comparative Analysis (QCA) to Study Patient-Centered Medical Homes (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/QCA-Report.pdf","Month of Publication":"September","Year of publication":"2013","Abstract":"This guide provides an in-depth introduction to using qualitative comparative analysis (QCA) in medical home evaluations to identify practice-level, (e.g., specific practice characteristics, medical home care processes) that are linked to an outcome of interest (e.g., improved care quality, higher patient satisfaction ratings, or reduced health care utilization or expenditures). This guide provides an overview of the QCA approach and key analytic steps.","Keywords":"qualitative comparative analysis (QCA), patient-centered medical homes, research approach, analytic method, report","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"9"},{"Title":"Report to Congress (December 2012) (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/RTC-12-2012.pdf","Month of Publication":"December","Year of publication":"2012","Abstract":"The Affordable Care Act requires that the Secretary of Health and Human Services submit to Congress a report on the Innovation Centers activities at least once every other year, beginning in 2012. This report covers activities between January 1, 2011 and October 31, 2012. During that time, the Innovation Center announced 14 initiatives under the authority of section 1115A of the Social Security Act (Appendix 1). Interest in these initiatives has been significant and the level of public and provider engagement has been high. Hundreds of ideas for improvement in care delivery and payment have been shared with the Innovation Center through its web site. One initiative  -  the Health Care Innovation Awards  -  received almost 3,000 applications.","Keywords":"Center for Medicare and Medicaid Innovation, Report To Congress, RTC, Section 3021, Medicare, Medicaid, Children\u0027s Health Insurance Program (CHIP), payment models, service delivery models, demonstrations, initiatives, model testing, report","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"10"},{"Title":"Evaluation of the Medicaid Emergency Psychiatric Demonstration - Report to Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MEPD_RTC.pdf","Month of Publication":"December","Year of publication":"2013","Abstract":"Congress directed the secretary of the Department of Health and Human Services (HHS) to conduct and evaluate a demonstration on the impacts of providing Medicaid reimbursements to private psychiatric institutions (which are referred to in Medicaid as \u00c3\u00acinstitutions for mental disease\u0022 (IMDs)) that treat beneficiaries ages 21 to 64 with psychiatric emergency medical conditions (EMCs). The demonstration is testing the extent to which reimbursing these hospitals for inpatient services needed to stabilize a psychiatric EMC, which is generally prohibited under Medicaid statute, improves access to and quality of care for beneficiaries and reduces overall Medicaid costs and utilization. This report presents the initial steps taken to implement the demonstration and is based on limited preliminary information provided by participating states and IMDs.","Keywords":"Evaluation of the Medicaid Emergency Psychiatric Demonstration, Report To Congress, RTC, Section 2707, MEPD, Medicaid, institutions for mental disease (IMD), psychiatric emergency medical conditions (EMCs), inpatient, hospital, states, report","Type":"Reports","Related Content":"Medicaid Emergency Psychiatric Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Medicaid-Emergency-Psychiatric-Demo\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"11"},{"Title":"Evaluation of Community-based Wellness and Prevention Programs under Section 4202 (b) of the Affordable Care Act - Report to Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/CommunityWellnessRTC.pdf","Month of Publication":"August","Year of publication":"2015","Abstract":"The Affordable Care Act (the Act), passed in March 2010, contains several provisions relating to prevention under Medicare, Medicaid, and private health insurance coverage. In Section 4202, subsection (b), entitled: \u00c3\u00acEvaluation and Plan for Community-based Prevention and Wellness Programs for Medicare Beneficiaries, Congress directed the Secretary of Health and Human Services to conduct an evaluation of community-based prevention and wellness programs and to develop a plan for promoting healthy lifestyles and chronic disease self-management for Medicare beneficiaries. CMS adopted a multi-phase approach to evaluating the impacts of these programs on Medicare beneficiaries. This report presents the results of the first two phases of CMS\u0027s research, describes CMS\u0027s plans for phase 3 of our ongoing evaluation, and briefly discusses ongoing work to promote wellness and prevention among Medicare beneficiaries.","Keywords":"Community-based Wellness and Prevention Programs, Report To Congress, RTC, Section 4202, Medicare, Medicaid, prevention program, wellness program, chronic disease management, report","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"12"},{"Title":"Evaluation of the Cancer Prevention and Treatment Demonstration for Ethnic and Racial Minorities - Report to Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/CPTD-Final.pdf","Month of Publication":"March","Year of publication":"2012","Abstract":"Racial and ethnic disparities in cancer screening and treatment have been well documented. Minority populations are less likely to receive cancer screening tests than Whites and, as a result, are more likely to be diagnosed with late-stage cancer (Agency for Healthcare Research and Quality [AHRQ], 2004; National Institutes of Health\/National Cancer Institute [NIH\/NCI], 2001. Racial and ethnic minorities with positive test results are more likely to experience delays in receiving the diagnostic tests needed to confirm cancer diagnoses (Battaglia et al., 2007; Reis et al., 2003. Similarly differences in primary cancer treatment and appropriate adjuvant therapy have been shown to exist between White and minority populations (AHRQ, 2004). Although the ability to pay is one of the explanatory factors, similar disparities have been found among Medicare beneficiaries. To address this problem, Congress mandated that the U.S. Department of Health and Human Services conduct demonstrations aimed at reducing disparities in screening, diagnosis, and treatment of cancer among racial and ethnic minority Medicare-insured beneficiaries (Section 122 of the Medicare, Medicaid, and SCHIP [State Children\u0027s Health Insurance Program] Benefits Improvement and Protection Act of 2000).","Keywords":"Evaluation of the Cancer Prevention and Treatment Demonstration for Ethnic and Racial Minorities, Report To Congress, RTC, cancer, minority populations, Section 122, Medicare, report","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"13"},{"Title":"Beneficiary Alignment Guidance for Medicare Fee For Service Models (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/x\/external_guidance.pdf","Month of Publication":"July","Year of publication":"2012","Abstract":"Because multiple new initiatives involving shared savings may be operating within a State implementing a managed fee-for-service (MFFS) Financial Alignment Demonstration, the Centers for Medicare \u0026 Medicaid Services (CMS) is providing this guidance on how beneficiaries will be aligned with different models for purposes of calculating shared savings. In all of these Medicare fee-for-service initiatives, beneficiaries will continue to have the freedom to receive care from any provider of their choosing.","Keywords":"Beneficiary Alignment Guidance for Medicare Fee For Service Models, fee-for-service (FFS), managed fee-for-service (MFFS), shared savings, states, Medicare, Medicaid","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"14"},{"Title":"Medicaid\/CHIP Environmental Scanning and Program Characteristics (ESPC) Database - Final Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/ESPC-Final-Report.pdf","Month of Publication":"February","Year of publication":"2014","Abstract":"The Medicaid\/CHIP Environmental Scanning and Program Characteristics (ESPC) Final Report describes the first ever compendium developed-the ESPC Database, that contains Medicaid and CHIP program characteristics as well  as selected environmental factors available through other publicly available databases for the 50 States and District of Columbia from 2005 onward. Data on program characteristics include information on eligibility, waiver programs, managed care, benefits, reimbursement, expenditures, and other policy topics. In addition, the report provides information on 2 research studies conducted using the ESPC database with MAX data. These studies required information on State-level Medicaid and CHIP program characteristics hence demonstrating the utility of the ESPC database. The \u003Ca href=\u0022http:\/\/medicaid.gov\/State-Resource-Center\/Medicaid-and-CHIP-Program-Portal\/Environmental-Scanning-and-Program-Characteristics-db.html\u0022\u003E ESPC database is available on medicaid.gov.\u003C\/a\u003E","Keywords":"Medicaid\/CHIP Environmental Scanning and Program Characteristics (ESPC) Database, Children\u0027s Health Insurance Program, research studies, environmental factors, cross-state analyses, interstate analysis, Medicaid Analytic eXtract (MAX), comparative effectiveness research (CER), report","Type":"Reports","Related Content":"Medicaid\/CHIP Environmental Scanning and Program Characteristics (ESPC) Database: Appendix (PDF) (http:\/\/innovation.cms.gov\/Files\/reports\/ESPC-Final-Report-Appdx.pdf)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"15"},{"Title":"Evaluation of the Medicare Care Management Performance Demonstration  -  Report to Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MCMPD-Eval-RTC.pdf","Month of Publication":"March","Year of publication":"2014","Abstract":"The Medicare Care Management Performance (MCMP) demonstration was designed and conducted by the Centers for Medicare \u0026 Medicaid Services (CMS) as the first federally funded initiative to assess the impact of pay-for-performance on quality of care for small- and medium-sized primary care practices. The goals of the demonstration were to use financial incentives to improve the quality of care provided to eligible fee-for-service Medicare beneficiaries and encourage the implementation and use of health information technology (health IT) among primary care physicians. The specific objectives were to promote continuity of care, help stabilize medical conditions, prevent or minimize acute exacerbations of chronic conditions, and reduce adverse health outcomes among fee-for-service Medicare beneficiaries. This report summarizes the findings from the demonstration program.","Keywords":"Medicare Care Management Performance Demonstration, Report To Congress, RTC, pay-for-performance, primary care, quality of care, fee-for-service, FFS, health information technology, health IT, chronic conditions, Medicare Prescription Drug Improvement and Modernization Act of 2003","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"16"},{"Title":"Evaluation of the Senior Risk Reduction Demonstration (SRRD) Under Medicare  -  Final Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/SrRiskReductionDemo-FinalEval.pdf","Month of Publication":"December","Year of publication":"2013","Abstract":"This report is the final evaluation of the Center for Medicare \u0026 Medicaid Services (CMS) Senior Risk Reduction Demonstration (SRRD) under Medicare. The SRRD was intended to assess whether health risk reduction programs shown to be successful among the commercial population can be effectively adapted to the Medicare population.","Keywords":"Evaluation of the Senior Risk Reduction Demonstration Under Medicare, SRRD, private sector, health promotion, disease prevention, senior citizens, elderly, fee for service, FFS, Health Risk Assessment (HRA), risk reduction, behavior change","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"17"},{"Title":"CMS Innovation Center - Fourth Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/rtc-2018.pdf","Month of Publication":"April","Year of publication":"2019","Abstract":"The CMS Innovation Center has released its fourth Report to Congress, as mandated by section 1115A(g) of the Act. It focuses on activities between October 1, 2016 and September 30, 2018, but also highlights a number of important activities started during that time period that were announced between September 30, 2018 and December 31, 2018. The CMS Innovation Center\u0027s portfolio of models and initiatives has attracted participation from health care providers, states, payers, and other stakeholders in all 50 states, the District of Columbia, and Puerto Rico. During this period, the CMS Innovation Center has tested or announced 36 payment and service delivery models and initiatives authorized under section 1115A authority. To improve care and value, these model tests focus on reducing program expenditures while improving the quality of care.","Keywords":"CMS Innovation Center - Fourth Report to Congress, RTC, Center for Medicare and Medicaid Innovation, 2018, Medicare, Medicaid, Childrens Health Insurance Program, CHIP, models, initiatives, programs, demonstrations, Section 1115A, Affordable Care Act","Type":"Reports","Related Content":"CMS Innovation Center (https:\/\/innovation.cms.gov\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"18"},{"Title":"Evaluation of the Medicare Care Management for High-Cost Beneficiaries (CMHCB) Demonstration: Health Buddy Program at Montefiore  -  Final Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/CMHCB-HealthBuddyMontefiore.pdf","Month of Publication":"October","Year of publication":"2013","Abstract":"The Care Management for High Cost Beneficiaries Demonstration (CMHCB) was approved to provide disease management services for thousands of beneficiaries. The 3-year demonstration (Phase I) tested provider-based intensive care management services as a way to improve quality of care and reduce costs for fee-for-service beneficiaries who have one or more chronic diseases and generally incur high Medicare costs. In 2009, it was announced that the demonstration period for 3 of the 6 original sites would be extended another 3 years (Phase II). This report is a final evaluation of the Health Buddy Program at Montefiore demonstration participant.","Keywords":"Care Management for High-Cost Beneficiaries Demonstration, CMHCB, disease management, fee-for-service, FFS, Health Buddy Program at Montefiore","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"19"},{"Title":"Evaluation of the Medicare Care Management for High-Cost Beneficiaries (CMHCB) Demonstration: Health Buddy West Program  -  Final Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/CMHCB-HealthBuddyWest.pdf","Month of Publication":"October","Year of publication":"2013","Abstract":"The Care Management for High Cost Beneficiaries Demonstration (CMHCB) was approved to provide disease management services for thousands of beneficiaries. The 3-year demonstration (Phase I) tested provider-based intensive care management services as a way to improve quality of care and reduce costs for fee-for-service beneficiaries who have one or more chronic diseases and generally incur high Medicare costs. In 2009, it was announced that the demonstration period for 3 of the 6 original sites would be extended another 3 years (Phase II). This report is a final evaluation of the Health Buddy West Program demonstration participant.","Keywords":"Care Management for High-Cost Beneficiaries Demonstration, CMHCB, disease management, fee-for-service, FFS, Health Buddy West Program","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"20"},{"Title":"Evaluation of the Medicare Care Management for High-Cost Beneficiaries (CMHCB) Demonstration: Massachusetts General Hospital (MGH)  -  Final Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/CMHCB-MassGen.pdf","Month of Publication":"October","Year of publication":"2013","Abstract":"The Care Management for High Cost Beneficiaries Demonstration (CMHCB) was approved to provide disease management services for thousands of beneficiaries. The 3-year demonstration (Phase I) tested provider-based intensive care management services as a way to improve quality of care and reduce costs for fee-for-service beneficiaries who have one or more chronic diseases and generally incur high Medicare costs. In 2009, it was announced that the demonstration period for 3 of the 6 original sites would be extended another 3 years (Phase II). This report is a final evaluation of the Massachusetts General Hospital demonstration participant.","Keywords":"Care Management for High-Cost Beneficiaries Demonstration, CMHCB, disease management, fee-for-service, FFS, Massachusetts General Hospital (MGH)","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"21"},{"Title":"Evaluation of the Medicare Care Management for High-Cost Beneficiaries (CMHCB) Demonstration: VillageHealths Key to Better Health (KTBH)  -  Final Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/CMHCB-VillageHealth.pdf","Month of Publication":"April","Year of publication":"2013","Abstract":"The Care Management for High Cost Beneficiaries Demonstration (CMHCB) was approved to provide disease management services for thousands of beneficiaries. The 3-year demonstration (Phase I) tested provider-based intensive care management services as a way to improve quality of care and reduce costs for fee-for-service beneficiaries who have one or more chronic diseases and generally incur high Medicare costs. In 2009, it was announced that the demonstration period for 3 of the 6 original sites would be extended another 3 years (Phase II). This report is a final evaluation of VillageHealths Key to Better Health demonstration participant.","Keywords":"Care Management for High-Cost Beneficiaries Demonstration, CMHCB, disease management, fee-for-service, FFS, VillageHealth\u0027s Key to Better Health (KTBH)","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"22"},{"Title":"Evaluation of the Medicare Acute Care Episode (ACE) Demonstration  -  Final Evaluation Report (PDF)","Author":"","URL":"http:\/\/downloads.cms.gov\/files\/cmmi\/ACE-EvaluationReport-Final-5-2-14.pdf","Month of Publication":"May","Year of publication":"2013","Abstract":"The Medicare ACE Demonstration, a 3-year demonstration project funded by the Centers for Medicare \u0026 Medicaid Services (CMS), used a global payment for a single episode of care as an alternative approach to payment for service delivery under traditional Medicare fee-for-service (FFS). The episode of care was defined as the bundle of Part A and Part B services provided to Medicare FFS beneficiaries during an inpatient stay for included Medicare Severity Diagnosis Related Groups (MS-DRGs), specifically, Cardiac Valve and Other Major Cardiothoracic Valve (valve), Cardiac Defibrillator Implant (defibrillator), Coronary Artery Bypass Graft (CABG), Cardiac Pacemaker Implant or Revision (pacemaker), Percutaneous Coronary Intervention (PCI), and Hip or Knee Replacement or Revision (hip\/knee). This report presents the findings of the evaluation of a bundled payment demonstration for selected cardiovascular and orthopedic  procedures, which was implemented at five sites in four states.","Keywords":"Medicare Acute Care Episode (ACE) Demonstration, global payment, episode, Part A, Part B, hip\/knee DRG, cardiac DRG, bundled payments, post-acute care","Type":"Reports","Related Content":"Medicare Acute Care Episode (ACE) Demonstration (http:\/\/innovation.cms.gov\/initiatives\/ACE\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"23"},{"Title":"Patient Safety Results  -  Preliminary Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/patient-safety-results.pdf","Month of Publication":"May","Year of publication":"2014","Abstract":"This report presents data showing a nine percent decrease in harms experienced by patients in hospitals in 2012 compared to the 2010 baseline, and that the Medicare Fee-for-Service 30-day readmissions rate dropped to 17.6 percent in 2013. National reductions in adverse drug events, falls, infections and other forms of harm are estimated to have prevented nearly 15,000 deaths in hospitals, saved $4.1 billion in costs, and prevented 560,000 patient harms in 2011 and 2012. These improvements are a result of strong, diverse public-private partnerships, active engagement by patients and families, and a wide range of aligned federal programs and initiatives working in concert towards shared aims.","Keywords":"Patient Safety Results, hospital acquired conditions, adverse drug events, falls, infections, hospital-induced harm, patient safety, public-private partnerships, Partnership for Patients, Hospital Engagement Networks, Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Administration on Community Living (ACL), Indian Health Service (HIS), Medicare, readmission rate, patient safety","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"24"},{"Title":"Chronically Critically Ill Population Payment Recommendations  -  Final Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/ChronicallyCriticallyIllPopulation-Report.pdf","Month of Publication":"March","Year of publication":"2014","Abstract":"A number of concerns have been raised about how to best treat and pay for Medicare patients who are chronically critically ill (CCI) or medically complex (MC) and who need extended periods of hospital-level care. This population, which we refer to as the CCI\/MC population, is often treated in both general acute care hospitals (ACHs) and in specialized long-term acute care hospitals (LTCHs). This report discusses findings related to three project goals: 1) determine whether a CCI\/MC population could be identified in a way appropriate for use in a payment system  2) describe the settings in which the CCI\/MC receive care and to determine whether the Medicare payment rates for CCI\/MC patients are appropriate relative to the costs for these patients across their episode of care, and 3) simulate payment changes for the CCI\/MC and the non-CCI\/MC populations and to estimate the impact on LTCHs and ACHs.","Keywords":"Chronically Critically Ill Population (CCIP), CCI, medically complex (MC), general acute care hospitals (ACHs), specialized long-term acute care hospitals (LTCHs), Medicare, payment approaches,","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"25"},{"Title":"Medicare Gainsharing Demonstration  -  Final Report To Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MedicareGainsharingRTC.pdf","Month of Publication":"June","Year of publication":"2014","Abstract":"The demonstration ran from October 2008 through September 30, 2011.  The participants in the demonstration were Beth Israel Medical Center (BIMC) and Charleston Area Medical Center (CAMC).  CMS analyzed the impact of the Gainsharing demonstration on hospital efficiency, physician practice patterns, Medicare expenditures, quality, and beneficiary satisfaction. The demonstration required that incentive payments be based on net internal savings.  Both demonstration sites were within the budget neutrality limits specified for the demonstration, both realized internal hospital savings from activities implemented during the Gainsharing Demonstration, and distributed bonus payments to physicians participating in the demonstration. CMS found that Medicare cost per episode did not increase for either BIMC or CAMC and found no statistically significant reductions in quality of care or patient satisfaction.  The evaluation of this Demonstration suggests that there is value in further testing of alternative payment approaches such as bundling, gain-sharing, and other efforts to align institutional and physician incentives.","Keywords":"Medicare Gainsharing Demonstration, Report To Congress, RTC, incentive payments, savings, care quality, patient satisfaction","Type":"Reports","Related Content":"Medicare Gainsharing Demonstration Evaluation Report: Appendix (PDF) (http:\/\/innovation.cms.gov\/Files\/reports\/MedicareGainsharingAppendix.pdf)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"26"},{"Title":"Partnership for Patients Preliminary Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/PFPEvalProgRpt.pdf","Month of Publication":"June","Year of publication":"2014","Abstract":"The Partnership for Patients initiative was launched in 2011 with the goals of reducing preventable hospital acquired conditions by 40 percent and 30-day readmissions by 20 percent by the end of 2014.  In order to achieve these aims, the initiative has implemented a strategy to focus health care stakeholders, including federal and other public and private health care payors, providers, and patients on reducing hospital harms. This independent preliminary evaluation report is designed to provide an interim assessment of Partnership for Patients initiatives progress towards reducing hospital-acquired harms. While the preliminary evaluation report documents substantial progress in reduced harm and readmissions, further work is needed to determine the Partnership for Patients initiatives progress towards the goals of reducing preventable hospital acquired conditions by 40 percent and 30-day readmissions by 20 percent by the end of 2014.","Keywords":"Partnership for Patients, PfP, hospital acquired conditions, HAC, readmissions, hospital-acquired harms, patient harm, preliminary evaluation report","Type":"Reports","Related Content":"Partnership for Patients Preliminary Evaluation Report: Appendix (PDF) (http:\/\/innovation.cms.gov\/Files\/reports\/PFPEvalProgRpt-Appendix.pdf)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"27"},{"Title":"Pioneer ACO Model Quality Performance Year One Results (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/x\/pioneeraco-fncl-py1.pdf","Month of Publication":"October","Year of publication":"2014","Abstract":"The Centers for Medicare and Medicaid Services (CMS) remains committed to leading delivery system reform, with an array of alternative payment models such as the Pioneer ACO Model. To further enable transparency and collaboration, CMS has made available the year one quality performance results for Pioneer ACOs. The quality performance results provided reflect performance rates for 32 Pioneer ACOs for Performance Year One.","Keywords":"Pioneer ACO Model, year one quality performance results, Accountable Care Organization, Year 1, Year One","Type":"Data","Related Content":"Pioneer ACO Model (http:\/\/innovation.cms.gov\/initiatives\/Pioneer-ACO-Model\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"28"},{"Title":"Pioneer ACO Model Quality Performance Year Two Results (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/x\/pioneeraco-fncl-py2.pdf","Month of Publication":"October","Year of publication":"2014","Abstract":"The Centers for Medicare and Medicaid Services (CMS) remains committed to leading delivery system reform, with an array of alternative payment models such as the Pioneer ACO Model. To further enable transparency and collaboration, CMS has made available the year two quality performance results for Pioneer ACOs. The quality performance results provided reflect performance rates for 23 Pioneer ACOs for Performance Year Two.","Keywords":"Pioneer ACO Model, year two quality performance results, Accountable Care Organization, Year 2, Year Two","Type":"Data","Related Content":"Pioneer ACO Model (http:\/\/innovation.cms.gov\/initiatives\/Pioneer-ACO-Model\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"29"},{"Title":"State Innovation Models Initiative: Model Test Awards Round One  -  Fifth Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/sim-rd1-mt-fifthannrpt.pdf","Month of Publication":"April","Year of publication":"2019","Abstract":"This Fifth and Final Annual Report on Round One Model Test States details each states activities, successes, challenges, and lessons learned from implementation. It also includes the impact analysis of SIM Round 1-related payment models on Medicaid expenditures, utilization, and quality outcomes after at least 2 years of implementation (ranging from 2013 through 2016, depending on the model).","Keywords":"State Innovation Models Initiative: Model Test Awards Round One, SIM, Medicaid, Arkansas, Maine, Massachusetts, Minnesota, Oregon, Vermont","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Test Awards Round One (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Testing\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/sim-mt-fg-fifthannrpt.pdf)","Related Content 3":"Appendices (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/sim-rd1-mt-fifthannrp-app.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/sim-mt-fg-fifthannrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"30"},{"Title":"Medicare Imaging Demonstration  -  Report To Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MedicareImagingDemoRTC.pdf","Month of Publication":"November","Year of publication":"2014","Abstract":"The Medicare Imaging Demonstration was conducted between October 1, 2011 and September 30, 2013, with more than 5,000 participating clinicians across a diversity of geographic locations and practice settings. The demonstration\u0027s primary aim was to determine the appropriateness of clinicians office-based advanced diagnostic imaging orders.","Keywords":"Medicare Imaging Demonstration, Report To Congress, RTC, Medicare, Medicare Improvements for Patients and Providers Act of 2008, MIPPA, advanced imaging, imaging procedures","Type":"Reports","Related Content":"Medicare Imaging Demonstration (https:\/\/www.cms.gov\/Medicare\/Demonstration-Projects\/DemoProjectsEvalRpts\/Medicare-Demonstrations-Items\/CMS1222075.html?DLPage=1\u0026DLFilter=imagin\u0026DLSort=2\u0026DLSortDir=descending)","Related Content 2":"Medicare Imaging Demonstration Evaluation Report (PDF)  | (http:\/\/innovation.cms.gov\/Files\/reports\/MedicareImagingDemoEvalRTC.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"31"},{"Title":"Frontier Extended Stay Clinic Demonstration  -  Report to Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MFESCD-RTC.pdf","Month of Publication":"November","Year of publication":"2014","Abstract":"The Medicare Frontier Extended Stay Clinic (FESC) Demonstration was established by Congress under Section 434 of the Medicare Prescription Drug Improvement and Modernization Act of 2003. The Demonstration aimed to test the feasibility of providing extended stay services to Medicare beneficiaries at clinics in isolated rural areas under Medicare payment and regulations. This report fulfills Congressional requirements by providing recommendations for future legislation or administrative actions.","Keywords":"Medicare Frontier Extended Stay Clinic Demonstration, Frontier Extended Stay Clinic Demonstration, Report To Congress, RTC, rural","Type":"Reports","Related Content":"Frontier Extended Stay Clinic Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Frontier-Extended-Stay-Clinic\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"32"},{"Title":"Fifth Report to Congress on The Evaluation Of The Medicare Coordinated Care Demonstration: Findings Over 10 Years (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/files\/reports\/medicarecoordinatedcaredemortc.pdf","Month of Publication":"November","Year of publication":"2014","Abstract":"The Medicare Coordinated Care Demonstration (MCCD) was mandated by the Balanced Budget Act of 1997. This ongoing, randomized study of care coordination addresses the question of whether individual care coordination reduces expenditures and service utilization for Medicare by evaluating the impacts of the coordination intervention for fee-for-service Medicare beneficiaries. Of the 15 programs originally selected for the demonstration in 2002, only two programs (Mercy Medical Center and Health Quality Partners) remained in 2008 and are discussed in the Fifth Report to Congress. The first of these programs, Mercy Medical Center, had favorable hospitalization results but increased total expenditures to Medicare. Thus, when CMS extended the program in 2008 it reduced the program fee, and by 2010 Mercy withdrew from the demonstration. In October 2010, CMS extended the sole remaining program, Health Quality Partners (HQP), for a subset of the original study population who was at greater risk of hospitalization. Over 10 years of operations (2002  -  2012), HQP reduced hospitalizations and Medicare expenditures by an amount sufficient to offset fully the HQP program fees. The greatest savings were seen among the patients in the pre-defined high-risk subgroup. However, we could not conclude with certainty that the program generated net savings to Medicare. In contrast to the earlier findings, HQP did not measurably affect hospitalizations or Medicare expenditures during the first 21 months following the October 2010 extension.","Keywords":"Medicare Coordinated Care Demonstration, Report To Congress, RTC, Medicare, care coordination","Type":"Reports","Related Content":"Medicare Coordinated Care Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Medicare-Coordinated-Care\/)","Related Content 2":"Medicare Coordinated Care Demonstration Evaluation - Health Quality Partners (PDF)  | (http:\/\/innovation.cms.gov\/Files\/reports\/MedicareCoordinatedCareDemoHQP.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"33"},{"Title":"CMS Innovation Center  -  Report to Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/RTC-12-2014.pdf","Month of Publication":"December","Year of publication":"2014","Abstract":"The Affordable Care Act requires that the Secretary of Health and Human Services submit to Congress a report on the CMS Innovation Centers activities at least once every other year beginning in 2012. This is the second report to Congress, and it focuses on activities between November 1, 2012 and September 30, 2014. As of September 30, 2014, the CMS Innovation Center has launched 22 payment and service delivery initiatives under section 1115A authority.","Keywords":"Center for Medicare and Medicaid Innovation, Report To Congress, RTC, 2014, Medicare, Medicaid, Childrens Health Insurance Program, CHIP, policy, models, initiatives, programs","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"34"},{"Title":"Medicare Physician Hospital Collaboration Demonstration Evaluation Report (PDF)","Author":"","URL":"http:\/\/downloads.cms.gov\/files\/cmmi\/PHC_FINAL-RPT_September2014.pdf","Month of Publication":"December","Year of publication":"2014","Abstract":"Section 646 of the Medicare Modernization Act (MMA) of 2003 required CMS to conduct a gainsharing demonstration to test methods that hospitals and physicians may use to share in efficiency gains. The primary goal of the Medicare Physician Hospital Collaboration Demonstration is to evaluate gainsharing as means to align physician and hospital incentives to improve quality and efficiency. At time of implementation in July 2009, the New Jersey Care Integration Consortium (NJCIC) was the only demonstration participant. This consortium is represented by 12 participating hospitals. The evaluation of the Medicare Physician Hospital Collaboration Demonstration will assess the effects of gainsharing on hospital efficiency, physician practice patterns, Medicare expenditures, quality of care, and beneficiary satisfaction.","Keywords":"Medicare Physician Hospital Collaboration Demonstration, hospitals, physicians, incentives, gainsharing, Medicare Modernization Act of 2003","Type":"Reports","Related Content":"Physician Hospital Collaboration Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Physician-Hospital-Collaboration\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"35"},{"Title":"Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013","Author":"","URL":"http:\/\/www.ahrq.gov\/professionals\/quality-patient-safety\/pfp\/interimhacrate2013.html","Month of Publication":"December","Year of publication":"2014","Abstract":"This Department of Health and Human Services report shows an estimated 50,000 fewer patients died in hospitals and approximately $12 billion in health care costs were saved as a result of a reduction in hospital-acquired conditions from 2010 to 2013. This progress toward a safer health care system occurred during a period of concerted attention by hospitals throughout the country to reduce adverse events. The efforts were due in part to provisions of the Affordable Care Act such as Medicare payment incentives to improve the quality of care and the HHS Partnership for Patients initiative.","Keywords":"Partnership for Patients Initiative, patient safety, hospital-acquired conditions, HAC, hospitals, Medicare","Type":"Reports","Related Content":"Partnership for Patients Initiative (http:\/\/innovation.cms.gov\/initiatives\/Partnership-for-Patients\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"36"},{"Title":"Community-Based Care Transitions Program  -  First Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/CCTP-AnnualRpt1.pdf","Month of Publication":"January","Year of publication":"2015","Abstract":"This First Annual Report provides a summary of progress and early findings for the initial Community-Based Care Transitions Program (CCTP) sites that were awarded through 2012. The analyses include between 46 - 48 sites depending on data availability. The report provides preliminary examination of factors that may be associated with the outcomes of interest, drawing on the qualitative and quantitative data collected during the initial project year.","Keywords":"Community-Based Care Transitions Program, CCTP, evaluation, Center for Medicare and Medicaid Innovation","Type":"Reports","Related Content":"Community-Based Care Transitions Program (http:\/\/innovation.cms.gov\/initiatives\/CCTP\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"37"},{"Title":"Comprehensive Primary Care Initiative  -  First Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/CPCI-EvalRpt1.pdf","Month of Publication":"January","Year of publication":"2015","Abstract":"In October 2012, the Center for Medicare \u0026 Medicaid Innovation of the Centers for Medicare \u0026 Medicaid Services (CMS), in a unique collaboration between public and private health care payers, launched the Comprehensive Primary Care (CPC) Initiative to improve primary care delivery in seven regions across the United States. The substantial transformation involved in achieving the core functions of CPC is expected to achieve better health care, better health outcomes, and lower costs. This first annual report describes the implementation and impacts of the CPC over its first year.","Keywords":"Center for Medicare and Medicaid Innovation, Comprehensive Primary Care Initiative, CPC, evaluation","Type":"Reports","Related Content":"Comprehensive Primary Care Initiative (http:\/\/innovation.cms.gov\/initiatives\/Comprehensive-Primary-Care-Initiative\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"38"},{"Title":"Multi-Payer Advanced Primary Care Practice Demonstration  -  First Evaluation Report (PDF)","Author":"","URL":"http:\/\/downloads.cms.gov\/files\/cmmi\/MAPCP-FirstEvaluationReport_1_23_15.pdf","Month of Publication":"January","Year of publication":"2015","Abstract":"The Multi-Payer Advanced Primary Care Practice Demonstration is multi-payer initiative in which Medicare is participating with Medicaid and private health care payers in eight advanced primary care initiatives originally in Maine, Michigan, Minnesota, New York, North Carolina, Pennsylvania, Rhode Island, and Vermont. Under this demonstration, participating practices and other auxiliary supports (e.g., community health teams) receive monthly care management fees from the participating payers and additional support (e.g., data feedback, learning collaboratives, practice coaching). This first annual report describes the implementation and impacts of the MAPCP Demonstration over its first year.","Keywords":"Center for Medicare and Medicaid Innovation, Multi-Payer Advanced Primary Care Practice Demonstration, MAPCP, evaluation","Type":"Reports","Related Content":"Multi-Payer Advanced Primary Care Practice (http:\/\/innovation.cms.gov\/initiatives\/Multi-Payer-Advanced-Primary-Care-Practice\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"39"},{"Title":"Evaluation of Patient Satisfaction and Experience of Care for Medicare Beneficiaries with End-Stage Renal Disease: Impact of the ESRD Prospective Payment System and ESRD Quality Incentive Program (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/esrd-eval-ptsat.pdf","Month of Publication":"January","Year of publication":"2015","Abstract":"This research assessed the impact of a new payment system and new quality incentives on Medicare beneficiaries with end-stage renal disease (ESRD). Under the ESRD Prospective Payment System (PPS), implemented in 2011, a service provider or a renal dialysis facility receives a bundled payment for a patients renal dialysis services. The ESRD Quality Incentive Program (QIP), implemented in 2012, was designed to ensure that service providers and renal dialysis facilities would meet or exceed performance and quality targets. Both the PPS and QIP were established in accord with the Medicare Improvements for Patients and Providers Act of 2008. The research conducted was designed to assess beneficiary experiences and satisfaction, including unintended consequences, following ESRD PPS\/QIP implementation.","Keywords":"End-Stage Renal Disease, ESRD, quality, payment system, Medicare, bundled payments","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"40"},{"Title":"Bundled Payments for Care Improvement Initiative Models 2-4  -  First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/files\/reports\/bpci-evalrpt1.pdf","Month of Publication":"January","Year of publication":"2015","Abstract":"This First Annual Report provides a summative evaluation of the CMS Bundled Payments for Care Improvement (BPCI) Initiative Models 2-4 and is based on the multiple evaluation and monitoring activities completed during the first year of the evaluation. This report reflects quantitative analyses of Phase 2 participants across Models 2-4 in the first quarter under the initiative (Q4 2013) and qualitative analyses of participants in their first and second quarters (Q4 2013 and Q1 2014).  The small sample sizes and early experience preclude drawing any definitive conclusions. Rather, this first Annual Report may be better thought of as the outline for future analyses as more participants enter BPCI and gain greater experience under the initiative.","Keywords":"Bundled Payments for Care Improvement Initiative, BPCI, evaluation, Models 2-4, Phase 2","Type":"Reports","Related Content":"Appendix (PDF)  | (https:\/\/innovation.cms.gov\/bpci-evalrpt1-apdx.pdf)","Related Content 2":"Bundled Payments for Care Improvement (BPCI) Initiative: General Information (https:\/\/innovation.cms.gov\/initiatives\/Bundled-Payments\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"41"},{"Title":"FQHC Advanced Primary Care Practice Demonstration - First Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/FQHCEvalRpt.pdf","Month of Publication":"March","Year of publication":"2015","Abstract":"In November 2011, CMS launched a three-year demonstration to support federally qualified health centers (FQHCs) with delivery of advanced primary care (APC) to Medicare beneficiaries. Under this demonstration, FQHCs were expected to achieve Level 3 recognition as a patient-centered medical home from the National Committee for Quality Assurance (NCQA) by the end of the demonstration. This First Annual Report contains preliminary findings from the first round of beneficiary experience surveys, staff and clinician surveys, and interviews with site leaders and Primary Care Associations (PCAs) held in Fall 2012, and cost and utilization outcomes from the first 6 demonstration quarters (November 1, 2011 through April 30, 2013).","Keywords":"FQHC Advanced Primary Care Practice Demonstration, Federally Qualified Health Center, primary care, Medicare, Medicaid, patient-centered medical home, PCMH, care coordination, care management","Type":"Reports","Related Content":"FQHC Advanced Primary Care Practice Demonstration (http:\/\/innovation.cms.gov\/initiatives\/FQHCs\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"42"},{"Title":"Medicare Imaging Demonstration - Implementation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MID-IR.pdf","Month of Publication":"March","Year of publication":"2015","Abstract":"The Medicare Imaging Demonstration Implementation Report provides a review of the pre-implementation and implementation experience of the Demonstration. The pre-implementation period occurred from February 4, 2011 until October 1, 2011, although for some demonstration participants the pre-implementation period extended beyond October 2011.","Keywords":"Medicare Imaging Demonstration, specialty society guidelines, incentive payments","Type":"Reports","Related Content":"Medicare Imaging Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Medicare-Imaging\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"43"},{"Title":"Health Care Innovation Awards Complex\/High-Risk Patient Targeting - First Annual Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/HCIA-CHSPT-FirstEvalRpt.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"The First Annual Report provides a summary of the implementation experiences and effectiveness of the 23 HCIA programs which CMS classified as complex high-risk patient targeting programs. The 23 awardees share a focus on serving populations with complex health needs who are at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. This report, which covers the first year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with insight on the primary determinants of implementation effectiveness to date.","Keywords":"Health Care Innovation Awards Complex\/High-Risk Patient Targeting, HCIA, first annual report, hospitalization, re-hospitalization, emergency department visits, nursing home stays, Complex\/High-Risk Patient Targeting (CHRPT), Medicare, Medicaid, Children\u0027s Health Insurance Program (CHIP), report","Type":"Reports","Related Content":"Health Care Innovation Awards (http:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"44"},{"Title":"Evaluation of the Health Care Innovation Awards Primary Care Redesign Programs - First Annual Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/HCIA-PCRP-FirstEvalRpt.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"The First Annual Report provides a summary of the implementation experiences and effectiveness of the 14 HCIA programs which CMS classified as primary care redesign (PCR) programs. The 14 awardees share a focus on ambulatory care, and all include some form of care coordination and\/or care management in their transformation efforts. This report, which covers the first year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with insight on the primary determinants of implementation effectiveness to date.","Keywords":"Evaluation of the Health Care Innovation Awards Primary Care Redesign Programs, HCIA, first annual report, Medicare, Medicaid, Children\u0027s Health Insurance Program (CHIP), primary care redesign (PCR), report","Type":"Reports","Related Content":"Health Care Innovation Awards (http:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"45"},{"Title":"Evaluation of the Health Care Innovation Awards Behavioral Health\/Substance Abuse Awards - First Annual Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/HCIA-BHSA-FirstEvalRpt.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"The First Annual Report provides a summary of the implementation experiences and effectiveness of the ten HCIA programs which focus on mental health and substance abuse. The awardees\u0027 projects include cross-cutting themes, such as innovative approaches to care coordination, but focus on different subgroups within the populations. This report, which covers the first year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with insight on the primary determinants of implementation effectiveness to date.","Keywords":"Evaluation of the Health Care Innovation Awards Behavioral Health\/Substance Abuse Awards, HCIA, first annual report, mental health, substance abuse, report","Type":"Reports","Related Content":"Health Care Innovation Awards (http:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"46"},{"Title":"Evaluation of the Shared Decision Making (SDM) \u0026 Medication Management (MM) Health Care Innovation Awardees - First Annual Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/HCIA-SDM-FirstEvalRpt.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"The First Annual Report provides a summary of the implementation experiences and effectiveness of the nine HCIA programs which CMS classified as either Shared Decision Making (SDM) or Medication Management (MM) programs. The three SDM programs provide patients with decision aids and encourage decision making based on the best scientific evidence available, while the six MM programs aim to reduce medication-related adverse events and improve patient outcomes through improved medication use.  This report, which covers the first year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with insight on the primary determinants of implementation effectiveness to date.","Keywords":"Evaluation of the Shared Decision Making (SDM) \u0026 Medication Management (MM) Health Care Innovation Awardees, HCIA, first annual report, medication-related adverse events, medication use, Medicaid, Medicare, Children\u0027s Health Insurance Program (CHIP), report","Type":"Reports","Related Content":"Health Care Innovation Awards (http:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"47"},{"Title":"Evaluation of Hospital-Setting Health Care Innovation Awards - First Annual Report (PDF)","Author":"","URL":"http:\/\/downloads.cms.gov\/files\/cmmi\/HCIA-HospitalSetting-FirstEvalRpt_4_9_15.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"The First Annual Report provides a summary of the implementation experiences and effectiveness of the ten HCIA programs which CMS classified as hospital setting interventions. The ten awardees share a focus on redesigning acute care and have a goal of improving efficiency and reducing follow-up utilization as part of their transformation efforts.  This report, which covers the first year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with insight on the primary determinants of implementation effectiveness to date.","Keywords":"Evaluation of Hospital-Setting Health Care Innovation Awards, HCIA, first annual report, nursing home, emergency department (ED), ICU, Medicare, Medicaid, report","Type":"Reports","Related Content":"Health Care Innovation Awards (http:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"48"},{"Title":"Health Care Innovation Awards Disease-Specific Evaluation - First Annual Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/HCIA-DS-FirstEvalRpt.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"The First Annual Report provides a summary of the implementation experiences and effectiveness of the 18 disease-specific HCIA programs. The 18 awardees focus on seven areas: Alzheimers disease and dementia; cancer; cardiovascular disease (CVD) and stroke; chronic pain; diabetes; end-stage renal disease (ESRD); and pediatric asthma.  This report, which covers the first year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with insight on the primary determinants of implementation effectiveness to date.","Keywords":"Health Care Innovation Awards Disease-Specific Evaluation, HCIA,  first annual report, Alzheimers disease and dementia, cancer, cardiovascular disease (CVD) and stroke, chronic pain, diabetes, end-stage renal disease (ESRD), pediatric asthma, Medicare, Medicaid, Children\u0027s Health Insurance Program (CHIP), report","Type":"Reports","Related Content":"Health Care Innovation Awards (http:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"49"},{"Title":"Evaluation of the Health Care Innovation Awards Community Resource Planning, Prevention, and Monitoring - First Annual Report (PDF)","Author":"","URL":"http:\/\/downloads.cms.gov\/files\/cmmi\/HCIA-CommunityRPPM-FirstEvalRpt_4_9_15.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"The First Annual Report provides a summary of the implementation experiences and effectiveness of the 24 HCIA programs which CMS classified as community resource planning, prevention, and monitoring models.  Eighteen programs focus on care coordination by deploying community health workers or patient navigators, 11 utilize health information technology, six are designed to change workflow and processes of care, and six include the development of tools for decision support of patients or providers.  This report, which covers the first year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with insight on the primary determinants of implementation effectiveness to date.","Keywords":"Evaluation of the Health Care Innovation Awards Community Resource Planning, Prevention, and Monitoring, HCIA, first annual report, emergency department (ED), care coordination, health information technology (HIT), Medicare, Medicaid, Children\u0027s Health Insurance Program (CHIP), report","Type":"Reports","Related Content":"Health Care Innovation Awards (http:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"50"},{"Title":"Evaluation of the Medicare Advantage (MA) Quality Bonus Payment Demonstration (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MAQBP-FirstEvalRpt.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"The Medicare Advantage (MA) Quality Bonus Payment demonstration is designed to reward MA plans that demonstrate quality improvement through the Medicare Star Ratings program. This interim evaluation report contains preliminary findings from stakeholder interviews, a plan survey, and preliminary analyses of trends in MA quality measures. The report shows general improvements in Part C summary star ratings between 2009 and 2014, with greatest increases pre-dating the quality bonus payment demonstration period. MA plans showed similar pre-demonstration trends to Medicaid and Commercial plans and no discernable deviations from quality trends during the demonstration period. The plan survey suggests the quality bonus payment demonstration provides incentives to improve quality.","Keywords":"Evaluation of the Medicare Advantage (MA) Quality Bonus Payment Demonstration (PDF), Medicare Advantage, MA, Star Ratings, Part C, quality measures, report","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"51"},{"Title":"Medicare Health Care Quality Demonstration - Indiana Health Information Exchange (IHIE) Performance Year Three Results (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MHCQ-IHIE-PY3-Financial.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"This Performance Year Three Financial Results Report presents the methodology and results of the calculations to determine if the Indiana Health Information Exchange (IHIE) site was eligible to share savings with Medicare for the third performance year in the Medicare Health Care Quality (MHCQ) demonstration covering July 1, 2011 - June 30, 2012.  The demonstration began in July 2009, and IHIE withdrew in January 2013.  A financial reconciliation was not conducted for performance year four because IHIE withdrew 7 months into the performance year.","Keywords":"Medicare Health Care Quality Demonstration - Indiana Health Information Exchange (IHIE) Performance Year Three Results","Type":"Reports","Related Content":"Medicare Health Care Quality Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Medicare-Health-Care-Quality\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"52"},{"Title":"Medicare Health Care Quality Demonstration - Indiana Health Information Exchange (IHIE) Year Three Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MHCQ-IHIE-PY3-Eval.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"This Year Three Evaluation Report is the final evaluation report for the Medicare Health Care Quality (MHCQ) Demonstration participant--the Indiana Health Information Exchange (IHIE). The primary intervention was IHIEs Quality Health First (QHF) program, which provided quality feedback reports to physicians, payers, and the public using data from Medicare, Medicaid, and other third party payers.  The demonstration began in July 2009 and included the nine-county metropolitan Indianapolis area.  It was intended as a five-year project, but IHIE withdrew in January 2013.  This report reviews both quantitative and qualitative evaluation data regarding the structure, goals, and performance for all demonstration years.  The quantitative analysis uses multivariate statistical methods to examine the impacts of the IHIE demonstration on cost, quality, and utilization outcomes.  The qualitative analysis describes the goals, governance, and interventions as well as the barriers and challenges that IHIE experienced in implementing its interventions.","Keywords":"Medicare Health Care Quality Demonstration - Indiana Health Information Exchange (IHIE) Year Three Evaluation Report","Type":"Reports","Related Content":"Medicare Health Care Quality Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Medicare-Health-Care-Quality\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"53"},{"Title":"Medicare Health Care Quality Demonstration - North Carolina-Community Care Network (NC-CCN) Performance Year Three Results (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MHCQ-NCCCN-PY3-Financial.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"This Performance Year Three Financial Results Report presents the methodology and results of the calculations to determine if the North Carolina Community Care Networks (NC-CCN) site was eligible to share savings with Medicare for the third performance year in the Medicare Health Care Quality (MHCQ) demonstration covering January 2012  -  December 2012.  The demonstration began in January 2010, and NC-CCN withdrew in December 2012.","Keywords":"Medicare Health Care Quality Demonstration - North Carolina-Community Care Network (NC-CCN) Performance Year Three Results","Type":"Reports","Related Content":"Medicare Health Care Quality Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Medicare-Health-Care-Quality\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"54"},{"Title":"Medicare Health Care Quality Demonstration - North Carolina-Community Care Network (NC-CCN) Year Three Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/MHCQ-NCCCN-PY3-Eval.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"This Year Three Evaluation Report is the final evaluation report for the Medicare Health Care Quality (MHCQ) Demonstration participant--the North Carolina Community Care Networks (NC-CCN). The primary intervention was NC-CCNs Medicaid medical home program for dually-eligible beneficiaries. The demonstration began in January 2010 and included 8 networks operating in 26 counties.  It was intended as a five-year project, but NC-CCN withdrew in December 2012.  This report reviews both quantitative and qualitative evaluation data regarding the structure, goals, and performance for all demonstration.  The quantitative analysis uses multivariate statistical methods to examine the impacts of the NC-CCN demonstration on cost, quality, and utilization outcomes.  The qualitative analysis describes the goals, governance, and interventions as well as the barriers and challenges that NC-CCN experienced in implementing its interventions.","Keywords":"Medicare Health Care Quality Demonstration - North Carolina-Community Care Network (NC-CCN) Year Three Evaluation Report (PDF), Medicare","Type":"Reports","Related Content":"Medicare Health Care Quality Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Medicare-Health-Care-Quality\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"55"},{"Title":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Year One Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/strongstart-enhancedprenatal-yr1evalrpt.pdf","Month of Publication":"April","Year of publication":"2015","Abstract":"This Year One Evaluation Report is the first evaluation report for Strong Start for Mothers and Newborns Strategy II Initiative. The initiative provides enhanced prenatal care services to Medicaid and CHIP eligible pregnant women through three evidence-based models of care: birth centers, group prenatal care, and maternity care homes.  The initiative began in February, 2013 with 27 awardees who are providing care at 213 site in 30 states, the District of Columbia, and Puerto Rico.  The project is now in its third year of operation.  This report covers the period from February 2013 through June, 2014.  The report reviews initial qualitative data  from awardee documents and site visits and preliminary quantitative data from awardee monitoring reports and forms completed by participants.","Keywords":"Strong Start for Mothers and Newborns Initiative, Enhanced Prenatal Care, Strategy II, evaluation report, maternity care, newborns","Type":"Reports","Related Content":"Strong Start for Mothers and Newborns Initiative (http:\/\/innovation.cms.gov\/initiatives\/Strong-Start\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"56"},{"Title":"State Innovation Models Initiative: Model Design and Pre-Test Round One Awards Final Evaluation Report (PDF)","Author":"","URL":"http:\/\/downloads.cms.gov\/files\/cmmi\/SIM-Round1-ModelDesign-PreTest-EvaluationRpt_5_6_15.pdf","Month of Publication":"May","Year of publication":"2015","Abstract":"This Final Evaluation Report on Round One Model Design \u0026 Pre-Test States provides lessons learned from key informant interviews, observation of stakeholder and work-group meetings, and document review. The report contains a case study for each state as well as a cross-state analysis.","Keywords":"State Innovation Models Initiative, State Innovation Models Initiative: Model Design Awards Round One, State Innovation Models Initiative: Model Pre-Test Awards, SIM, report","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Design Awards Round One  | (http:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Design\/index.html)","Related Content 2":"State Innovation Models Initiative: Model Pre-Test Awards  | (http:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Pre-Testing\/index.html)","Related Content 3":"State Innovation Models Initiative: General Information  | (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"57"},{"Title":"State Innovation Models Initiative: Model Test Round One Awards First Annual Report (PDF)","Author":"","URL":"http:\/\/downloads.cms.gov\/files\/cmmi\/SIM-Round1-ModelTest-FirstAnnualRpt_5_6_15.pdf","Month of Publication":"May","Year of publication":"2015","Abstract":"This First Annual Report on Round One Model Test States provides baseline findings from before SIM initiatives were implemented for the 6 Test states from qualitative and quantitative data collection.","Keywords":"State Innovation Models Initiative, State Innovation Models Initiative: Model Test Awards Round One, SIM, report","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Pre-Test Awards (http:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Testing\/index.html)","Related Content 2":"State Innovation Models Initiative: General Information (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"58"},{"Title":"Private, For-Profit Demo Project for the Program of All-Inclusive Care for the Elderly (PACE) - Report To Congress (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/RTC_For-Profit_PACE_Report_to_Congress_051915_Clean.pdf","Month of Publication":"June","Year of publication":"2015","Abstract":"The PACE Program is a model of care that allows people who otherwise need a nursing home-level of care to remain in the community by providing health care and related support services.  The Balanced Budget Act of 1997 (the BBA) authorized PACE as a permanent part of the Medicare program and a state option under Medicaid by adding sections 1894 and 1934 to the Social Security Act.  These sections direct the Secretary of Health and Human Services to waive the requirement that that a PACE organization be a not-for-profit entity in order to demonstrate the operation of a PACE organization by private, for-profit entities.  This report to Congress is required by the BBA to provide an assessment of the impact of the demonstration on quality and cost of services, including certain findings regarding the frailty level, access to care, and the quality of care of PACE participants enrolled with for-profit PACE organizations.","Keywords":"Private, For-Profit Demo Project for the Program of All-Inclusive Care for the Elderly (PACE) - Report To Congress (PDF), PACE","Type":"Reports","Related Content":"Private, For-Profit Demo Project for the Program of All-Inclusive Care for the Elderly (PACE) (http:\/\/innovation.cms.gov\/initiatives\/PACE\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"59"},{"Title":"Independence at Home Demonstration - First Year Performance Results (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/x\/iah-yroneresults.pdf","Month of Publication":"June","Year of publication":"2015","Abstract":"The Independence at Home Demonstration saved over $25.9 million in the first demonstration performance year. The Centers for Medicare and Medicaid Services will award incentive payments to participating practices that met the quality measures and succeeded in reducing Medicare expenditures. The demonstration tests the effectiveness of delivering comprehensive primary care services at home and if doing so improves care for beneficiaries with multiple chronic conditions.","Keywords":"Independence at Home Demonstration - First Year Performance Results, comprehensive primary care, chronic conditions, disease management, Medicare","Type":"Data","Related Content":"Independence at Home Demonstration (http:\/\/innovation.cms.gov\/initiatives\/Independence-at-Home\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"60"},{"Title":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents - Evaluation Report through December 2014 (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/irahnfr-secondevalrpt.pdf","Month of Publication":"July","Year of publication":"2015","Abstract":"The evaluation report through December 2014 for Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents presents results of the quantitative and qualitative analysis of data from the first Initiative year, 2013.  The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is a joint effort by the Center for Medicare and Medicaid Innovation (Innovation Center) and the Medicare-Medicaid Coordination Office (MMCO) to improve the quality of care for people residing in nursing facilities.  Through this Initiative, CMS is funding seven organizations, called enhanced care and coordination providers (ECCPs), to implement strategies to reduce avoidable hospitalizations for Medicare-Medicaid enrollees who are long-stay residents of nursing facilities.","Keywords":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents - Evaluation Report through December 2014, enhanced care and coordination providers (ECCPs), long-stay residents, Medicare-Medicaid enrollees, Medicare, Medicaid","Type":"Reports","Related Content":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents (http:\/\/innovation.cms.gov\/initiatives\/rahnfr\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"61"},{"Title":"FQHC Advanced Primary Care Practice Demonstration - Second Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/fqhc-scndevalrpt.pdf","Month of Publication":"July","Year of publication":"2015","Abstract":"In November 2011, CMS launched a three-year demonstration to support federally qualified health centers (FQHCs) with delivery of advanced primary care (APC) to Medicare beneficiaries. Under this demonstration, FQHCs were expected to achieve Level 3 recognition as a patient-centered medical home from the National Committee for Quality Assurance (NCQA) by the end of the demonstration. This Second Annual Report includes quantitative findings through January 31, 2014 and qualitative findings from focus groups, site visits and interviews.","Keywords":"FQHC Advanced Primary Care Practice Demonstration, Federally Qualified Health Center, primary care, Medicare, Medicaid, patient-centered medical home, PCMH, care coordination, care management, second evaluation report","Type":"Reports","Related Content":"FQHC Advanced Primary Care Practice Demonstration (http:\/\/innovation.cms.gov\/initiatives\/FQHCs\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"62"},{"Title":"Study of Access and Quality of Care Private, For-Profit Demo Project for the Program of All-Inclusive Care for the Elderly (PACE) (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/Files\/reports\/pace-access-qualityreport.pdf","Month of Publication":"September","Year of publication":"2015","Abstract":"The PACE Program is a model of care that allows people who otherwise need a nursing home-level of care to remain in the community by providing health care and related support services. The Balanced Budget Act of 1997 (the BBA) authorized PACE as a permanent part of the Medicare program and a state option under Medicaid by adding sections 1894 and 1934 to the Social Security Act. These sections direct the Secretary of Health and Human Services to waive the requirement that that a PACE organization be a not-for-profit entity in order to demonstrate the operation of a PACE organization by private, for-profit entities. The BBA mandates an assessment of the impact of the demonstration on quality and cost of services, including certain findings regarding the frailty level, access to care, and the quality of care of PACE participants enrolled in for-profit PACE organizations.  Mathematica Policy Research, under contract with the Centers for Medicare and Medicaid Services (CMS), conducted a study to comparing quality of and access to care of participants of for-profit PACE and not-for-profit PACE organizations, as well as provided insight into the number of enrollees and frailty of PACE participants.","Keywords":"Study of Access and Quality of Care Private, For-Profit Demo Project for the Program of All-Inclusive Care for the Elderly (PACE), elderly","Type":"Reports","Related Content":"Private, For-Profit Demo for the Program of All-Inclusive Care for the Elderly (PACE) (http:\/\/innovation.cms.gov\/initiatives\/PACE\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"63"},{"Title":"Evaluation of the Bundled Payments for Care Improvement Initiative Model 1 - First Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/BPCIM1_ARY1_Report.pdf","Month of Publication":"October","Year of publication":"2015","Abstract":"In April 2013, CMMI launched the Bundled Payments for Care Improvement (BPCI) Model 1 initiative to reduce Medicare costs while maintaining or improving quality of care. Model 1 focuses on care received at Awardee hospitals during an acute-care inpatient hospitalization for all Medicare Severity Diagnosis Related Groups (MS-DRGs), unless excluded by Awardee. Through care redesigns, Awardees attempt to achieve efficiency gains in health care delivery, primarily in the form of reduced health care redundancies, improved care processes, and internal hospital cost savings. These efficiency gains translate to reduced Medicare costs while maintaining or improving quality of care for Medicare beneficiaries. This Annual Report includes quantitative findings through June 30, 2014 and qualitative findings from site visits and interviews.","Keywords":"Evaluation of the Bundled Payments for Care Improvement Initiative Model 1 - First Annual Report, BPCI, acute care inpatient hospitalization, hospital savings, Medicare, bundled payments, episodes","Type":"Reports","Related Content":"Appendix E (PDF) (http:\/\/innovation.cms.gov\/bpci-mdl1yr1annrpt-appe.pdf)","Related Content 2":"Appendix D (PDF) | (http:\/\/innovation.cms.gov\/bpci-mdl1yr1annrpt-appd.pdf)","Related Content 3":"Appendix C (PDF) | (http:\/\/innovation.cms.gov\/bpci-mdl1yr1annrpt-appc.pdf)","Related Content 4":"Appendix B (PDF) | (https:\/\/downloads.cms.gov\/files\/cmmi\/BPCIM1_ARY1_Appendix_B.pdf)","Related Content 5":"Appendix A (PDF) | (https:\/\/innovation.cms.gov\/Files\/reports\/bpci-mdl1yr1annrpt-appa.pdf)","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"64"},{"Title":"Medicare Coordinated Care Demonstration - Final Evaluation Report: Health Quality Partners\u0027 Program (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/mccd-hqp-finaleval.pdf","Month of Publication":"January","Year of publication":"2016","Abstract":"The Medicare Coordinated Care Demonstration: Final Report for the Health Quality Partners Program Evaluation report examines the impact of the Health Quality Partners (HQP) program before and after a 2010 extension of the HQP program.   Between 2002 and 2010, high-risk beneficiaries enrolled in the HQP program had significantly lower hospitalizations and Medicare expenditures than control group beneficiaries.  However, after the HQP program was extended in 2010, the program had no measurable impact on hospitalizations, outpatient emergency department visits, or Medicare expenditures.  After factoring in program management fees, the program increased total Medicare expenditures by an estimated 16 percent.  The Final Evaluation tested various hypotheses to explain the decline in impacts after the extension, and found that the most likely explanation for the observed decline in impact between the two periods is that improvements in usual care for the control group decreased the added value of HQPs services for reducing hospitalizations and expenditures.  After accounting for changes in the high-risk patient population over time, HQPs impact on hospitalizations (relative to the control group) disappeared because outcomes for the control group were better for the later cohort than the pre-extension cohort, whereas outcomes for the treatment group were unchanged.","Keywords":"Medicare Coordinated Care Demonstration Final Evaluation Report: Health Quality Partners\u0027 Program, Medicare, high-risk beneficiaries, high-risk populations, Fee-For-Service, FFS","Type":"Reports","Related Content":"Medicare Coordinated Care Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Medicare-Coordinated-Care\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"65"},{"Title":"Evaluation of the Financial Alignment Initiative for Medicare-Medicaid Enrollees - Washington Preliminary Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-wa-prelimppone.pdf","Month of Publication":"January","Year of publication":"2016","Abstract":"The Washington demonstration leverages Medicaid health homes to test new mechanisms to integrate financing and services for Medicare-Medicaid enrollees, and allows the State and the Federal governments to share in savings resulting from quality improvements. The report includes early evaluation findings during the first demonstration performance period, from July 2013  -  December 2014.","Keywords":"Evaluation of the Financial Alignment Initiative for Medicare-Medicaid Enrollees - Washington Preliminary Evaluation Report, Measurement, Monitoring and Evaluation of the Financial alignment Initiativ for Medicare-Medicaid Enrollees, care coordination, long-term services and support (LTSS), behavioral health, person-centered care delivery, WA, Washington Health Home Program","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"66"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Early Implementation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-implementationrpt.pdf","Month of Publication":"January","Year of publication":"2016","Abstract":"The report provides an update on the early implementation experience of the seven demonstrations that were operational on or before May 1, 2014. Those demonstrations are in: California, Illinois, Massachusetts, Minnesota, Ohio, Virginia, and Washington. The report describes successes and challenges encountered during the first six months of operation in each state.","Keywords":"Report on Early Implementation of Demonstrations under the Financial Alignment Initiative, Financial Alignment Initiative for Medicare-Medicaid Enrollees - Early Implementation Report, Medicaid, care coordination, long-term services and support (LTSS), behavioral health, person-centered care delivery","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"67"},{"Title":"Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Final Year Three Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/irahnfr-finalyrthreeevalrpt.pdf","Month of Publication":"January","Year of publication":"2016","Abstract":"The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is a joint effort by the Center for Medicare and Medicaid Innovation (Innovation Center) and the Medicare-Medicaid Coordination Office (MMCO) to improve the quality of care for people residing in nursing facilities.  Through this Initiative, CMS is funding seven organizations, called enhanced care and coordination providers (ECCPs), to implement strategies to reduce avoidable hospitalizations for Medicare-Medicaid enrollees who are long-stay residents of nursing facilities.  The report posted here entitled, \u00c3\u00acEvaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents: Final Annual Report Project Year 3\u0022 presents results of the quantitative and qualitative analysis of data from the second Initiative year, 2014.","Keywords":"Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Final Evaluation Report, Medicare, Enhanced Care and Coordination Providers (ECCPs)","Type":"Reports","Related Content":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents (https:\/\/innovation.cms.gov\/initiatives\/rahnfr\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"68"},{"Title":"Health Care Innovation Awards: YMCA of the USA - Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/hcia-ymcadpp-evalrpt.pdf","Month of Publication":"March","Year of publication":"2016","Abstract":"Through Round 1 of the Health Care Innovation Awards, the YMCA of the USA (Y-USA), tested the Diabetes Prevention Program (DPP) for Medicare beneficiaries in 17 participating YMCAs across the nation. The program has 6,874 participants enrolled with approximately 80 percent completing at least 4 sessions. The innovation is associated with a statistically significant reduction in average Medicare spending. There was also a small reduction in hospitalizations.","Keywords":"Health Care Innovation Awards, evaluation report, YMCA of the USA, Diabetes Prevention Program (DPP), Medicare, weight loss, diabetes, hypertension","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"Certification | (https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Research\/ActuarialStudies\/Downloads\/Diabetes-Prevention-Certification-2016-03-14.pdf)","Related Content 3":"Press Release  | (http:\/\/www.hhs.gov\/about\/news\/2016\/03\/23\/independent-experts-confirm-diabetes-prevention-model-supported-affordable-care-act-saves-money.html)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"69"},{"Title":"Medicare Advantage Quality Bonus Payment Model - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/maqbpdemonstration-finalevalrpt.pdf","Month of Publication":"March","Year of publication":"2016","Abstract":"The Centers for Medicare \u0026 Medicaid Services (CMS) completed the three-year Medicare Advantage (MA) Quality Bonus Payment (QBP) Demonstration (\u00c3\u00acQBP demonstration\u0022) launched in 2012, which extended quality bonus payments established in the Affordable Care Act of 2010 to additional plans based upon Star Ratings. The primary findings of the final evaluation report include: Across the QBP demonstration period (CY 2012-2014), average Star Ratings improved, more beneficiaries enrolled in higher rated plans, and more beneficiaries had access to higher rated plans. While there is no definitive way to attribute these changes (in whole or in part) to the QBP demonstration itself, evaluation analyses do show that the demonstration did not stall or reverse trends  -  Star Rating and plan enrollment increases that began prior to the demonstration continued throughout the demonstration period and, in fact, QBP demonstration payments appear associated with reductions in OOP costs for beneficiaries.","Keywords":"Medicare Advantage (MA) Quality Bonus Payment (QBP) Demonstration, QBP Demonstration, Star Ratings, quality ratings, bonus payments","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"70"},{"Title":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Year Two Evaluation Report: Volume 1 (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/strongstart-enhancedprenatalcare_evalrptyr2v1.pdf","Month of Publication":"March","Year of publication":"2016","Abstract":"The second annual evaluation for the Strong Start II model (Strong Start) provides an assessment of the second year of Strong Starts implementation and operations. Strong Start tests the effects of enhanced services in three approaches to care (maternity care homes, group prenatal care, and birth centers) for women enrolled in Medicaid or CHIP.  The goal of the Strong Start initiative is to determine if these enhanced approaches to care can reduce the rate of preterm births, improve the health outcomes of pregnant women and newborns, and decrease the anticipated total cost of medical care during pregnancy, delivery and over the first year of life for children born to mothers whose prenatal care was covered by Medicaid or CHIP.","Keywords":"Strong Start for Mothers and Newborns, Enhanced Prenatal Care, Strong Start II Model, Volume 1, babies","Type":"Reports","Related Content":"Strong Start for Mothers and Newborns Initiative: Enhanced Prenatal Care Models (https:\/\/innovation.cms.gov\/initiatives\/Strong-Start-Strategy-2\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"71"},{"Title":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Year Two Evaluation Report: Volume 2 (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/strongstart-enhancedprenatalcare_evalrptyr2v2.pdf","Month of Publication":"March","Year of publication":"2016","Abstract":"The second annual evaluation for the Strong Start II model (Strong Start) provides an assessment of the second year of Strong Starts implementation and operations. Strong Start tests the effects of enhanced services in three approaches to care (maternity care homes, group prenatal care, and birth centers) for women enrolled in Medicaid or CHIP.  The goal of the Strong Start initiative is to determine if these enhanced approaches to care can reduce the rate of preterm births, improve the health outcomes of pregnant women and newborns, and decrease the anticipated total cost of medical care during pregnancy, delivery and over the first year of life for children born to mothers whose prenatal care was covered by Medicaid or CHIP.","Keywords":"Strong Start for Mothers and Newborns, Enhanced Prenatal Care, Strong Start II Model, Volume 2, babies","Type":"Reports","Related Content":"Strong Start for Mothers and Newborns Initiative: Enhanced Prenatal Care Models (https:\/\/innovation.cms.gov\/initiatives\/Strong-Start-Strategy-2\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"72"},{"Title":"Medicare Intravenous Immune Globulin (IVIG) Demonstration - Interim Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/ivig-intrtc.pdf","Month of Publication":"March","Year of publication":"2016","Abstract":"This interim Report to Congress provides the initial 10-month evaluation findings of the impact of the Medicare Patient Intravenous Immunoglobulin (IVIG) Access Demonstration Project on Medicare beneficiaries access to items and services needed for the in-home administration of IVIG.  This project allows Medicare to pay for the items and services needed to administer the IVIG drug in-home, which enables beneficiaries and their physicians to have greater flexibility in choosing the option that is most appropriate for the beneficiary. This report provides information on the implementation experience to date and a descriptive analysis of Medicare claims information for the demonstration baseline in 2014. One of the key findings indicate that enrollment in the demonstration is lower than anticipated. Also there was approximately a 60 percent growth rate in Medicare beneficiaries with PIDD receiving IVIG treatment over the past 5 years.","Keywords":"Medicare Intravenous Immune Globulin (IVIG) Demonstration, Report To Congress (RTC), in-home administration","Type":"Reports","Related Content":"Medicare Intravenous Immune Globulin (IVIG) Demonstration (https:\/\/innovation.cms.gov\/initiatives\/IVIG\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"73"},{"Title":"Community-based Wellness and Prevention Programs - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/communitywellnessprgms-frstevalrpt.pdf","Month of Publication":"April","Year of publication":"2016","Abstract":"The Evaluation of Community-based Wellness and Prevention Programs is an ongoing study of Medicare beneficiaries to determine if participation in wellness programs improves health and utilization outcomes. The Report on Baseline Survey Efforts and Qualitative Study of Program Operations and Costs contains interim results from a baseline survey of program participants and a general Medicare population sample as well qualitative analysis from 10 site visits to organizations implementing wellness programs. The report provides early estimates of awareness of and interest in wellness programs among Medicare beneficiaries and lessons learned for managing and sustaining programs.","Keywords":"Community-based Wellness and Prevention Programs, Medicare, wellness programs, falls prevention, chronic disease management, physical activity, nutrition, obesity","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"74"},{"Title":"Comprehensive Primary Care Initiative - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/cpci-evalrpt2.pdf","Month of Publication":"April","Year of publication":"2016","Abstract":"In October 2012, the Center for Medicare \u0026 Medicaid Innovation of the Centers for Medicare \u0026 Medicaid Services (CMS), in a unique collaboration between public and private health care payers, launched the Comprehensive Primary Care (CPC) Initiative to improve primary care delivery in seven regions across the United States. The substantial transformation involved in achieving the core functions of CPC is expected to achieve better health care, better health outcomes, and lower costs. This second annual report describes the implementation and impacts of the CPC over its first two year.","Keywords":"Comprehensive Primary Care Initiative, CPC, primary care","Type":"Reports","Related Content":"Comprehensive Primary Care Initiative (https:\/\/innovation.cms.gov\/initiatives\/Comprehensive-Primary-Care-Initiative\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"75"},{"Title":"Multi-Payer Advanced Primary Care Practice Demonstration  -  Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/mapcp-secondevalrpt.pdf","Month of Publication":"May","Year of publication":"2016","Abstract":"This report provides comprehensive findings through Year 2 of the MAPCP Demonstration. It includes quantitative cost, utilization and quality of care findings from the first 8 demonstration quarters and qualitative findings from the Year 2 site visits.","Keywords":"Multi-Payer Advanced Primary Care Practice Demonstration, MAPCP, second evaluation report, Medicare, Medicaid, primary care","Type":"Reports","Related Content":"Multi-Payer Advanced Primary Care Practice Demonstration Second Evaluation Report Appendices (PDF) (https:\/\/downloads.cms.gov\/files\/cmmi\/mapcp-secondevalrpt-technicalappendix.pdf)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"76"},{"Title":"Multi-Payer Advanced Primary Care Practice Demonstration  -  Third Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/mapcp-thirdevalrpt.pdf","Month of Publication":"May","Year of publication":"2016","Abstract":"This report provides site visit findings from Year 3 of the MAPCP Demonstration.","Keywords":"Multi-Payer Advanced Primary Care Practice Demonstration, MAPCP, third evaluation report, Medicare, Medicaid, primary care","Type":"Reports","Related Content":"Multi-Payer Advanced Primary Care Practice Demonstration  -  Second Evaluation Report (PDF) (https:\/\/downloads.cms.gov\/files\/cmmi\/mapcp-secondevalrpt.pdf)","Related Content 2":"Multi-Payer Advanced Primary Care Practice Demonstration First Evaluation Report (PDF)  | (http:\/\/downloads.cms.gov\/files\/cmmi\/MAPCP-FirstEvaluationReport_1_23_15.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"77"},{"Title":"Health Care Innovation Awards Community Planning, Prevention and Monitoring - Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-communityrppm-secondevalrpt.pdf","Month of Publication":"May","Year of publication":"2016","Abstract":"The Second Annual Report provides a summary of the implementation experiences and effectiveness, as well as early impacts, of the 24 HCIA programs which CMS classified as community resource planning, prevention, and monitoring models. Eighteen programs focus on care coordination by deploying community health workers or patient navigators, 11 utilize health information technology, six are designed to change workflow and processes of care, and six include the development of tools for decision support of patients or providers. This report, which covers the second year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with additional insights on the primary determinants of implementation effectiveness to date, as well as interim estimates of impacts on key beneficiary outcomes.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Community Planning, Prevention and Monitoring - Second Annual Report, care coordination","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"78"},{"Title":"Health Care Innovation Awards Disease Specific-Evaluation - Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-diseasespecific-secondevalrpt.pdf","Month of Publication":"May","Year of publication":"2016","Abstract":"The Second Annual Report provides a summary of the implementation experiences and effectiveness, as well as early impacts, of the 18 disease-specific HCIA programs. The 18 awardees focus on seven areas: Alzheimers disease and dementia; cancer; cardiovascular disease (CVD) and stroke; chronic pain; diabetes; end-stage renal disease (ESRD); and pediatric asthma. This report, which covers the second year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with additional insight on the primary determinants of implementation effectiveness to date, as well as interim estimates of impacts on key beneficiary outcomes.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Disease Specific-Evaluation - Second Annual Report, Alzheimers disease, dementia, cancer, cardiovascular disease (CVD), stroke, chronic pain, diabetes, end-stage renal disease (ESRD), pediatric asthma","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"79"},{"Title":"Health Care Innovation Awards Hospital-Setting Evaluation - Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-hospitalsetting-secondevalrpt.pdf","Month of Publication":"May","Year of publication":"2016","Abstract":"The Second Annual Report provides a summary of the implementation experiences and effectiveness, as well as early impacts, of the 24 HCIA programs which CMS classified as hospital setting interventions. The ten awardees share a focus on redesigning acute care and have a goal of improving efficiency and reducing follow-up utilization as part of their transformation efforts. This report, which covers the second year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with additional insights on the primary determinants of implementation effectiveness to date, as well as interim estimates of impacts on key beneficiary outcomes.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Hospital-Setting Evaluation - Second Annual Report, hospital interventions","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"80"},{"Title":"Health Care Innovation Awards Behavioral Health\/Substance Abuse Awards - Second Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/hcia-bhsa-secondevalrpt.pdf","Month of Publication":"May","Year of publication":"2016","Abstract":"The Second Annual Report provides a summary of the implementation experiences and effectiveness, as well as early impacts, of the ten HCIA programs which focus on mental health and substance abuse. The awardees\u0027 projects include cross-cutting themes, such as innovative approaches to care coordination, but focus on different subgroups within the populations. This report, which covers the second year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with additional insights on the primary determinants of implementation effectiveness to date, as well as interim estimates of impacts on key beneficiary outcomes.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Behavioral Health\/Substance Abuse Awards, behavioral health, substance abuse, mental health","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"81"},{"Title":"Health Care Innovation Awards Primary Care Redesign Programs - Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-primarycareredesignprog-secondannualrpt.pdf","Month of Publication":"May","Year of publication":"2016","Abstract":"The Second Annual Report provides a summary of the implementation experiences and effectiveness, as well as early impacts, of the 14 HCIA programs which CMS classified as primary care redesign (PCR) programs. The 14 awardees share a focus on ambulatory care, and all include some form of care coordination and\/or care management in their transformation efforts. This report, which covers the second year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with additional insights on the primary determinants of implementation effectiveness to date, as well as interim estimates of impacts on key beneficiary outcomes.","Keywords":"Health Care Innovation Awards, HCIA, ealth Care Innovation Awards Primary Care Redesign Programs, primary care, care coordination, care management","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"82"},{"Title":"Health Care Innovation Awards Complex\/High-Risk Patient Targeting - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-complexhighriskpattargeting-secondevalrpt.pdf","Month of Publication":"May","Year of publication":"2016","Abstract":"The Second Annual Report provides a summary of the implementation experiences and effectiveness, as well as early impacts, of the 23 HCIA programs which CMS classified as complex high-risk patient targeting programs. The 23 awardees share a focus on serving populations with complex health needs who are at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. This report, which covers the second year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with additional insights on the primary determinants of implementation effectiveness to date, as well as interim estimates of impacts on key beneficiary outcomes.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Complex\/High-Risk Patient Targeting, high-risk health needs, hospitalizations, nursing home, emergency department","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"83"},{"Title":"Health Care Innovation Awards Shared Decision Making and Medication Management - Second Evaluation report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-shareddecisionmakingmedicationmnmgt-secondevalrpt.pdf","Month of Publication":"May","Year of publication":"2016","Abstract":"The Second Annual Report provides a summary of the implementation experiences and effectiveness, as well as early impacts, of the 24 HCIA programs which CMS classified as either Shared Decision Making (SDM) or Medication Management (MM) programs. The three SDM programs provide patients with decision aids and encourage decision making based on the best scientific evidence available, while the six MM programs aim to reduce medication-related adverse events and improve patient outcomes through improved medication use. This report, which covers the second year of the evaluation, synthesizes key findings across awardees, focusing on providing the Center for Medicare and Medicaid Innovation with additional insights on the primary determinants of implementation effectiveness to date, as well as interim estimates of impacts on key beneficiary outcomes.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Meta-Analysis \u0026 Evaluators Collaborative","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"84"},{"Title":"Evaluation of the Medicaid Incentives for the Prevention of Chronic Diseases (MIPCD) Model - Second Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/mipcd-secondrtc.pdf","Month of Publication":"June","Year of publication":"2016","Abstract":"This second report to Congress document and associated independent assessment report presents preliminary results from the independent evaluation of the Medicaid Incentives for the Prevention of Chronic Diseases. The results are through November, 2015 and are the quantitative and qualitative analysis of the effect of the program on use of health care services by Medicaid beneficiaries, the ability of special populations to participate in the programs, the satisfaction of Medicaid beneficiaries with the programs, and the administrative costs of the programs.","Keywords":"Evaluation of the Medicaid Incentives for the Prevention of Chronic Diseases (MIPCD) Model - Second Report to Congress, RTC, state, behavior change, incentives, health risks, special populations","Type":"Reports","Related Content":"MIPCD Second Report to Congress Indepdendent Assessment Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/mipcd-secondrtc-indpassessmentrpt.pdf)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"85"},{"Title":"Independence at Home Demonstration  -  Performance Year Two Evaluation Results","Author":"","URL":"https:\/\/www.cms.gov\/Newsroom\/MediaReleaseDatabase\/Fact-sheets\/2016-Fact-sheets-items\/2016-08-09.html","Month of Publication":"August","Year of publication":"2016","Abstract":"In performance year two of the demonstration, the Independence at Home Demonstration saved over $10 million, an average of $1,010 per beneficiary. The Centers for Medicare and Medicaid Services will award incentive payments to participating practices that met the quality measures and succeeded in reducing Medicare expenditures. The demonstration tests the effectiveness of delivering comprehensive primary care services at home and if doing so improves care for beneficiaries with multiple chronic conditions.","Keywords":"Independence at Home Demonstration - Performance Year Two Evaluation Results, Independence at Home Demonstration, Medicare, coprehensive primary care, home care, chronic conditions","Type":"Data","Related Content":"Independence at Home Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Independence-at-Home\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"86"},{"Title":"Health Care Innovation Awards Round Two  -  First Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia2-yroneevalrpt.pdf","Month of Publication":"August","Year of publication":"2016","Abstract":"On September 1, 2014, the Center for Medicare \u0026 Medicaid Innovation (CMMI) in the Centers for Medicare \u0026 Medicaid Services (CMS) awarded the second round of cooperative agreements, known as Round Two of the Health Care Innovation Awards (HCIA R2). Thirty-nine organizations were awarded three-year cooperative agreements to implement their proposed innovative models for improving the quality of both care and health, and for lowering the cost of care for Medicare, Medicaid, and Childrens Health Insurance Program (CHIP) beneficiaries. This annual report synthesize the implementation experience of the 39 awardees during their first year of operation.","Keywords":"Health Care Innovation Awards Round Two - First Evaluation Report, HCIA, Medicare, Medicaid, Children\u0027s Health Insurance Program, CHIP","Type":"Reports","Related Content":"Health Care Innovation Awards Round Two (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/Round-2.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"87"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Health Homes MFFS Demonstration  -  First Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/wa-faimffs-firstannualrpt.pdf","Month of Publication":"August","Year of publication":"2016","Abstract":"The Washington demonstration leverages Medicaid health homes to test new mechanisms to integrate financing and services for Medicare-Medicaid enrollees, and allows the State and the Federal governments to share in savings resulting from quality improvements. The report includes a review of model implementation and early quantitative evaluation findings during the first demonstration performance period, from July 2013  -  December 2014.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Washington Health Homes MFFS Demonstration, fee-for-service, FFS, Medicare, Medicaid, WA","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"88"},{"Title":"State Innovation Models Initiative  -  Model Test Round One Awards Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/sim-round1-secondannualrpt.pdf","Month of Publication":"September","Year of publication":"2016","Abstract":"This Second Annual Report on Round One Model Test States provides findings from qualitative and quantitative data collection for the first implementation year of the State Innovation Model initiative for the 6 Test states.","Keywords":"State Innovation Model Initiative: Model Test Round One Awards Second Annual Report, State Innovation Awards, SIM, Medicaid","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Test Awards Round One (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Testing\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"89"},{"Title":"Bundled Payments for Care Improvement Initiative Models 2-4  -  Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/bpci-models2-4-yr2evalrpt.pdf","Month of Publication":"September","Year of publication":"2016","Abstract":"This second Annual Report provides a summative and formative evaluation of the CMS Bundled Payments for Care Improvement (BPCI) initiative Models 2-4 and is based on the multiple evaluation and monitoring activities completed during the second year of the evaluation. This report reflects quantitative analyses of Phase 2 participants that joined the initiative during the first year (Q4 2013  -  Q3 2014) and qualitative analyses of participants that joined during the first seven quarters (Q4 2013  -  Q2 2015). Most results are based on the experience of 94 Awardees across three Models, with 227 episode initiators (EI) that were responsible for 58,410 episodes of care during the first year of the initiative. The EIs comprised 130 acute care hospitals, 63 skilled nursing facilities, 28 home health agencies, four physician group practices, one inpatient rehabilitation facility, and one long-term care hospital. Participation in BPCI has continued to grow with many more providers entering Phase 2 in Q2 2015 and Q3 2015, and more EIs transitioning episodes to Phase 2 which will be covered in the next (third) Annual Report.","Keywords":"Bundled Payments for Care Improvement Initiative Models 2-4 - Second Evaluation Report, BPCI, models 2-4","Type":"Reports","Related Content":"Appendices (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/bpci-models2-4-yr2rpt-appendices.pdf)","Related Content 2":"Bundled Payments for Care Improvement (BPCI) Initiative: General Information (https:\/\/innovation.cms.gov\/initiatives\/Bundled-Payments\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"90"},{"Title":"Medicaid Emergency Psychiatric Demonstration - Final Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/mepd-finalrpt.pdf","Month of Publication":"September","Year of publication":"2016","Abstract":"This report presents the final results of the Medicaid Emergency Psychiatric Services Demonstration Evaluation. The Medicaid Emergency Psychiatric Services Demonstration (MEPD) was authorized by Section 2707 of the Affordable Care Act (ACA; P.L. 111-148) to test if providing Medicaid reimbursements to private psychiatric hospitals that treat beneficiaries ages 21 to 64 with psychiatric emergency medical conditions (EMCs) improved access, quality of care and reduced overall Medicaid costs and utilization. In March 2012, CMS selected 12 states (Alabama, California, Connecticut, Illinois, Maine, Maryland, Missouri, North Carolina, Rhode Island, Washington, West Virginia and the District of Columbia) to participate in the demonstration (28 private institutions for mental disease [IMDs]). The demonstration began on July 1, 2012 and, in accordance with legislative requirements, ended three years later, on June 30, 2015. Overall, we found little to no evidence of MEPD effects on: inpatient admissions to IMDs or general hospital scatter beds; IMD or scatter bed lengths of stays; ER visits and ED boarding; discharge planning by participating IMDs; or the Medicaid share of IMD admissions of adults with psychiatric EMCs. Federal costs for IMD admissions increased, as expected, but changes in costs to states, IMDs, and other payers varied by state.  Volume 1 of the report contains the primary evaluation results and volume 2 is a technical appendix that provides in-depth information about the statistical analyses used in the report.","Keywords":"Medicaid Emergency Psychiatric Demonstration - Final Report, Medicaid","Type":"Reports","Related Content":"Appendices (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/mepd-finalrpt-app.pdf)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"91"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Massachusetts First Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-ma-firstevalrpt.pdf","Month of Publication":"September","Year of publication":"2016","Abstract":"The Financial Alignment Initiative aims to test integrated care and financing models for Medicare-Medicaid enrollees. The One Care demonstration is a capitated model of service delivery in which CMS, the Commonwealth of Massachusetts, and One Care plans enter into three-way contracts to provide comprehensive, coordinated care for dual eligible beneficiaries ages 21-64 at the time of enrollment. The report includes a review of demonstration implementation and early quantitative evaluation findings during the first demonstration performance period, from October 2013  -  December 2014.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Massachusetts First Annual Report, Medicare, Medicaid, fee for service, FFS","Type":"Reports","Related Content":"Appendices (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/fai-ma-firstevalrptapp.pdf)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees  | (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"92"},{"Title":"Partnership for Patients Second Interim Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/pfp-interimevalrpt.pdf","Month of Publication":"December","Year of publication":"2016","Abstract":"The Centers for Medicare \u0026 Medicaid Services has released the Second Interim Evaluation Report for the Partnership for Patients 1.0 Model Test. The preponderance of evidence supports that there has been a decrease in patient harm in 11 out of 11 areas of focus.","Keywords":"Partnership for Patients Second Interim Evaluation Report, PFP","Type":"Reports","Related Content":"Partnership for Patients (https:\/\/innovation.cms.gov\/initiatives\/Partnership-for-Patients\/)","Related Content 2":"Partnership for Patients Second Interim Evaluation Report: Appendix (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/pfp-interimevalrptapp.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"94"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Minnesota First Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-mn-firstannrpt.pdf","Month of Publication":"December","Year of publication":"2016","Abstract":"Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience is a statewide initiative intended to further strengthen integration of the existing plans participating in the long-running Minnesota Senior Health Options (MSHO) program, an integrated Medicare-Medicaid Dual Eligible Special Needs Plan (DSNP) program that began in 1997. The demonstration is to implement administrative changes to better align the Medicare and Medicaid operational components of the program. The report includes a review of demonstration implementation and early quantitative evaluation findings during the first demonstration performance period, from September 2013  -  December 2014.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Minnesota First Annual Report, Medicare, Medicaid, dual-eligible, Minnesota, MN","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"95"},{"Title":"Medicare Health Care Quality Demonstration - Meridian Health System Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/mhcq-meridian-final.pdf","Month of Publication":"December","Year of publication":"2016","Abstract":"This report discusses the evaluation results for the Meridian Health System Care Journey (MCJ) program, one of four Medicare Health Care Quality (MHCQ) Demonstrations. The goal of the MCJ program was to reduce costs and improve the quality of care by providing home based palliative care and chronic disease management services to a clinically complex, late-life population. When  compared to clinically similar beneficiaries discharged from other area hospitals, MJC patients were associated with an increase in Medicare costs, although this difference was not statistically significant. The program showed evidence of enhancing the care delivery, based on interviews with enrollees. The MCJ program ended in June, 2016.","Keywords":"Medicare Health Care Quality Demonstration - Meridian Health System Final Evaluation Report, Medicare Health Care Quality Demonstration, Care Journey Program, chronic disease management, palliative care","Type":"Reports","Related Content":"Medicare Health Care Quality Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Medicare-Health-Care-Quality\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"96"},{"Title":"Medicare Health Care Quality Demonstration - Meridian Health System Patient and Family Focus Group and Interviews Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/mhcq-meridian-patientfamily-fginterviewsrpt.pdf","Month of Publication":"December","Year of publication":"2016","Abstract":"This report documents the family and patient experiences that informed the evaluation of the Meridian Health System Care Journey (MCJ) program, one of four Medicare Health Care Quality (MHCQ) Demonstrations. During a site visit in 2015, a sample of 27 enrollees and, and their families reported positive experiences and perceived a beneficial impact from participation in the demonstration. The MCJ program, which concluded in 2016, focused on late-life, palliative care, and chronic disease management and provided at home encounters and telephonic follow-up services in return for an additional management fee.","Keywords":"Medicare Health Care Quality Demonstration - Meridian Health System Patient and Family Focus Group and Interviews Report, Medicare Health Care Quality Demonstration, Care Journey Program, chronic disease management, palliative care","Type":"Reports","Related Content":"Medicare Health Care Quality Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Medicare-Health-Care-Quality\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"97"},{"Title":"Comprehensive Primary Care Initiative - Third evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/cpci-evalrpt3.pdf","Month of Publication":"December","Year of publication":"2016","Abstract":"In October 2012, the Center for Medicare \u0026 Medicaid Innovation of the Centers for Medicare \u0026 Medicaid Services (CMS), in a unique collaboration between public and private health care payers, launched the Comprehensive Primary Care (CPC) Initiative to improve primary care delivery in seven regions across the United States. The substantial transformation involved in achieving the core functions of CPC is expected to achieve better health care, better health outcomes, and lower costs. This third annual report describes the implementation and impacts of the CPC over its first three years.","Keywords":"Comprehensive Primary Care Initiative - Third evaluation Report, Comprehensive Primary Care Initiative, primary care, CPC","Type":"Reports","Related Content":"Comprehensive Primary Care Initiative (https:\/\/innovation.cms.gov\/initiatives\/Comprehensive-Primary-Care-Initiative\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"98"},{"Title":"CMS Innovation Center - Third Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/rtc-2016.pdf","Month of Publication":"January","Year of publication":"2017","Abstract":"The CMS Innovation Center has released its third Report to Congress, as mandated by section 1115A(g) of the Act. It focuses on activities between October 1, 2014 and September 30, 2016, but also highlights a number of important activities started during that time period that were announced between September 30, 2016 and December 31, 2016. The CMS Innovation Centers portfolio of models and initiatives has attracted participation from health care providers, states, payers, and other stakeholders in all 50 states, the District of Columbia, and Puerto Rico. During this period, the CMS Innovation Center has tested or announced  39 payment and service delivery models and initiatives authorized under section 1115A authority. To improve care and value, these model tests focus on reducing program expenditures while improving the quality of care.","Keywords":"CMS Innovation Center - Third Report to Congress, Report to Congress, RTC, Center for Medicare and Medicaid Innovation, 2016, Medicare, Medicaid, Childrens Health Insurance Program, CHIP, models, initiatives, programs, Section 1115A, Affordable Care Act","Type":"Reports","Related Content":"Blog (https:\/\/blog.cms.gov\/2017\/01\/05\/transforming-health-care-delivery-through-the-cms-innovation-center)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"99"},{"Title":"Maryland All-Payer Model - First Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/marylandallpayer-firstannualrpt.pdf","Month of Publication":"January","Year of publication":"2017","Abstract":"This first annual report presents the evaluation results for the first two years of the Maryland All-Payer Model (MDAPM). MDAPM is an innovative alternative payment model that tests whether an all-payer system for hospital payment is an effective model for advancing better care, better health and reduced costs. Preliminary results suggest that Medicare expenditures for Maryland hospitals appear to be moving in the right direction in terms of generating savings.","Keywords":"Maryland All-Payer Model - First Annual Report, Maryland, MD, all-payer, multi-payer, alternative payment model, APM, Medicare","Type":"Reports","Related Content":"Maryland All-Payer Model (https:\/\/innovation.cms.gov\/initiatives\/Maryland-All-Payer-Model\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"100"},{"Title":"Initiative to Reduce Avoidable Hospitalization Among Nursing Facility Residents - Final Year Four Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/irahnfr-finalyrfourevalrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is a joint effort by the Center for Medicare and Medicaid Innovation (Innovation Center) and the Medicare-Medicaid Coordination Office (MMCO) to improve the quality of care for people residing in nursing facilities. The results in this report are based on experience during the third full Initiative year, 2015. During this period, all of the enhanced care and coordination providers (ECCPs) demonstrated a decline in utilization for both all-cause hospitalizations (three ECCPs showed a statistically significant decline) and potentially avoidable hospitalizations (four ECCPs showed a statistically significant decline). Six of the seven ECCPs showed reductions in Medicare expenditures, with statistically significant declines in four ECCPs.","Keywords":"Initiative to Reduce Avoidable Hospitalization Among Nursing Facility Residents, Medicare, elderly, enhanced care and coordination providers (ECCPs)","Type":"Reports","Related Content":"Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents (https:\/\/innovation.cms.gov\/initiatives\/rahnfr\/)","Related Content 2":"Appendices (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/irahnfr-finalyrfourevalrpt-app.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"101"},{"Title":"Health Care Innovation Awards Behavioral Health and Substance Abuse Awards - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-bhsa-thirdannualrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The third annual report focuses on the goal of \u00c3\u00actelling the story\u0022 of each awardee by describing its program objectives, implementation experiences, and participants outcomes, using CMMIs four core measures to the extent possible. This report covers 10 of the 107 awardees, which CMS classified as focused on individuals with mental health and substance use disorders. The 10 projects in this group share some cross-cutting themes (for example, training staff to coordinate care and using information technology to monitor care) but they focused on different subgroups within this broad priority population, such as individuals with schizophrenia or with serious mental illness and a chronic physical condition. The awardees implemented their programs in settings that ranged from primary care practices and mental health clinics to a campus housing the homeless. The number of participants enrolled in these projects varied widely, depending on the specific objectives of the awardees. This report presents final estimates of program impacts on spending, utilization and other relevant patient outcome measures for the entire main award period, which ended June 30, 2015.","Keywords":"Health Care Innovation Awards Behavioral Health and Substance Abuse Awards - Third Annual Report, Health Care Innovation Awards, HCIA, behavioral health, mental health, substance abuse","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"102"},{"Title":"Health Care Innovation Awards Community Resource Planning, Prevention and Monitoring - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-communityrppm-thirdannualrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The third annual report assesses the effectiveness and sustainability of 24 HCIA programs focused on community resource planning, prevention, and monitoring. Programs include health care workforce development and the application of health information technology across multiple care settings. The third annual report provides final estimates of program impacts on spending, utilization, and other relevant outcome measures for the award period, which ended June 30, 2015. Quantitative and qualitative findings are integrated and synthesized within and across awardees.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Community Resource Planning, Prevention and Monitoring - Third Annual Report, community resource planning","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"103"},{"Title":"Health Care Innovation Awards Complex High-Risk Patient Targeting - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-chspt-thirdannualrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The Third Annual Report provides a summary of quantitative and qualitative findings on program effectiveness, sustainability and scaling of the 23 HCIA programs which CMS classified as complex high-risk patient targeting programs. The 23 awardees share a focus on serving populations with complex health needs who are at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. This report presents final outcome estimates of awardee led programs on Medicare and Medicaid expenditures, utilization and other relevant beneficiary outcomes measures through June 30, 2015.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Complex High-Risk Patient Targeting - Third Annual Report, high-risk health needs, emergency department, nursing home","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"104"},{"Title":"Health Care Innovation Awards Disease Specific Evaluation - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-diseasespecific-thirdannualrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The Third Annual Report provides a summary of quantitative findings on program effectiveness and qualitative findings on the sustainability and scaling of programs after the HCIA award period for the 18 disease-specific HCIA programs. The 18 awardees focus on seven areas: Alzheimers disease and dementia; cancer; cardiovascular disease (CVD) and stroke; chronic pain; diabetes; end-stage renal disease (ESRD); and pediatric asthma. This report presents final estimates of program impacts on spending, utilization and other relevant patient outcome measures for the entire main award period, which ended June 30, 2015.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Disease Specific Evaluation - Third Annual Report, Alzheimers disease, dementia, cancer, cardiovascular disease (CVD), stroke, chronic pain, diabetes, end-stage renal disease (ESRD), pediatric asthma","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"105"},{"Title":"Health Care Innovation Awards Hospital Setting Evaluation - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-hospitalsetting-thirdannualrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The Third Annual Report provides a summary of quantitative findings on program effectiveness and qualitative findings on the sustainability and scaling of programs after the HCIA award period for the 10 HCIA programs which CMS classified as hospital setting interventions. The 10 awardees share a focus on redesigning acute care and have a goal of improving efficiency and reducing follow-up utilization as part of their transformation efforts. This report presents final estimates of program impacts on spending, utilization and other relevant patient outcome measures for the entire main award period, which ended June 30, 2015.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Hospital Setting Evaluation - Third Annual Report, hospital interventions","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"106"},{"Title":"Health Care Innovation Awards Primary Care Redesign - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-primarycareredesign-thirdannualrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The Third Annual Report provides a summary of quantitative findings on program effectiveness and qualitative findings on the sustainability and scaling of programs after the HCIA award period for the 10 of the 14 HCIA programs which CMS classified as primary care redesign (PCR) interventions. The 10 awardees share a focus on ambulatory care, and all include some form of care coordination and\/or care management in their transformation efforts. This report presents final estimates of program impacts on spending, utilization and other relevant patient outcome measures for the entire main award period, which ended June 30, 2015.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Primary Care Redesign Programs - Third Annual Report, primary care, care coordination, care management","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"107"},{"Title":"Health Care Innovation Awards Shared Decision Making - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-shareddecisionmaking-thirdannualrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"This third annual report presents summative findings for three awardees with a focus on Shared Decision Making. These awardees interventions encourage patients to become fully informed about the risks and benefits of available medical treatments and to participate in selecting the most appropriate treatments or care management options for their individual needs. This report contains each programs performance on beneficiaries health status, resource use, and health care expenditures, among other outcomes and identify factors that have contributed to awardee implementation successes and challenges.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Shared Decision Making - Third Annual Report, care management, health care expenditures, care options","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"108"},{"Title":"Health Care Innovation Awards Medication Management - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-medicationmanagement-thirdannualrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"This third annual report presents summative findings for six awardees with a focus on Medication Management. These awardees interventions aim to optimize therapeutic outcomes and reduce adverse events through improved medication use and these interventions involve in-depth medication reviews, improving care coordination and transitions, and communicating with patients, physicians, and other health care providers to resolve medication-related problems.  This report present each programs performance on beneficiaries health status, resource use, and health care expenditures, among other outcomes and identify factors that have contributed to awardee implementation successes and challenges.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Medication Management - Third Annual Report","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"109"},{"Title":"Health Care Innovation Awards Meta-Analysis and Evaluators Collaborative - Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-metaanalysissecondannualrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The Second Annual Report synthesizes findings from across the Health Care Innovation Awards Round 1 portfolio. It covers findings through the second year of implementation and impacts, including 135 unique interventions. The impacts estimates provided by this report on spending, utilization and other relevant patient outcome measures are interim, as an additional year of data for all awardees is not yet included.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Meta-Analysis and Evaluators Collaborative - Second Annual Report","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"110"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Care Coordination Issue Brief (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-carecoordination-issuebrief.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The Centers for Medicare \u0026 Medicaid Services (CMS) is releasing an issue brief on care coordination services for a set of nine capitated model demonstrations implemented between October 2013 and February 2015 under the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative. The Financial Alignment Initiative tests integrated care and financing models for Medicare-Medicaid enrollees. The information included in this Issue Brief covers the period from the start of each of the nine capitated model demonstrations through 2016.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Financial Alignment Initiative for Medicare-Medicaid Enrollees - Care Coordination Issue Brief, Medicare, Medicaid, dual-eligible, capitated, care coordination, issue brief","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"111"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Special Populations Issue Brief (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-specialpop-issuebrief.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"This issue brief provides research findings related to the experiences of beneficiaries, including those with mental illness and\/or substance use disorders, long term services and supports (LTSS) users, and racial and ethnic minorities enrolled in 6 of the 14 demonstrations under the Centers for Medicare and Medicaid Services (CMS) Financial Alignment Initiative (FAI). The brief includes information from beneficiary focus groups conducted in the following states: California, Illinois, Massachusetts, Ohio, Virginia, and Washington.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Financial Alignment Initiative for Medicare-Medicaid Enrollees - Special Populations Issue Brief, Medicare, Medicaid, dual-eligible, capitated, care coordination, issue brief","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"112"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Focus Groups Issue Brief (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-focusgroup-issuebrief.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"This issue brief examines the impact of the FAI demonstrations on special populations (LTSS users, beneficiaries with severe and persistent mental illness (SPMI), and racial and ethnic minorities) enrolled in the Washington and Massachusetts demonstrations. Information in the brief includes Medicare claims and encounter data from annual reports, as well as findings from beneficiary focus groups and surveys.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Financial Alignment Initiative for Medicare-Medicaid Enrollees - Focus Groups Issue Brief, Medicare, Medicaid, dual-eligible, capitated, care coordination, issue brief","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"113"},{"Title":"Pioneer ACO Model - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/pioneeraco-finalevalrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The Pioneer ACO Model was the first ACO initiative launched at CMS in 2012. The Pioneer model was designed for sophisticated organizations that would be at financial risk for their aligned beneficiaries spending, enabling them to share in savings each performance year if their spending fell below, and share in losses if their spending rose above, a target spending level. This final evaluation report focused on describing the participating organizations, aligned beneficiaries, and care management activities such as the SNF 3-day waiver.","Keywords":"Pioneer ACO Model - Final Evaluation Report, Pioneer ACO Model, accountable care organization","Type":"Reports","Related Content":"Pioneer ACO Model (https:\/\/innovation.cms.gov\/initiatives\/Pioneer-ACO-Model\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"114"},{"Title":"Pioneer ACO Model - 3-day Skilled Nursing Facility (SNF) Waiver Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/pioneeraco-snf-evalrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"One of the features of the Pioneer ACO Model was a waiver of the requirement of at least three inpatient hospital days prior to SNF admission. The waiver allowed eligible beneficiaries to be directly admitted to a SNF or admitted to a SNF after spending fewer than three days in the hospital. The evaluation analyzed the impact of the SNF 3-day waiver starting in spring 2014 through the end of 2015.","Keywords":"Pioneer ACO Model - 3-day Skilled Nursing Facility (SNF) Waiver Final Evaluation Report, Pioneer ACO Model, accountable care organization","Type":"Reports","Related Content":"Pioneer ACO Model (https:\/\/innovation.cms.gov\/initiatives\/Pioneer-ACO-Model\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"115"},{"Title":"Advance Payment ACO Model - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/advpayaco-fnevalrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"Beginning in 2012, the Advance Payment (AP) ACO Model provided 36 small, physician-based Medicare Shared Savings Program ACOs with up-front payments to invest in resources to improve care delivery. These advance payment funds were intended to be recouped against shared savings payments according to the financial benchmarking methodology. This final evaluation report presents impact findings for AP ACOs through the first three years of the initiative as well as Shared Savings Program participation renewal rates and amounts of advance payment funds expended and recouped from shared savings.","Keywords":"Advance Payment ACO Model - Final Evaluation Report, Advance Payment ACO Model, accountable care organization, Medicare Shared Savings Program, SSP","Type":"Reports","Related Content":"Advance Payment ACO Model (https:\/\/innovation.cms.gov\/initiatives\/Advance-Payment-ACO-Model\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"116"},{"Title":"Bundled Payments for Care Improvement Initiative Model 1 - Second Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/bpci-mdl1yr2annrpt.pdf","Month of Publication":"March","Year of publication":"2017","Abstract":"The Bundled Payments for Care Improvement (BPCI) Model 1 initiative focused on care received at Awardee hospitals during an acute-care inpatient hospitalization for all Medicare Severity Diagnosis Related Groups (MS-DRGs. Through care redesign, Awardees attempted to achieve efficiency gains in health care delivery, primarily in the form of reduced health care redundancies, improved care processes, and internal hospital cost savings. This Final Report includes quantitative findings covering the model performance period of April 1, 2013 through March 31, 2015, and qualitative findings from site visits and interviews.","Keywords":"Bundled Payments for Care Improvement Initiative Model 1 - Second Annual Report, acute-care inpatient hospitalization, bpci","Type":"Reports","Related Content":"Appendix (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/bpci-mdl1yr2annrpt-apndx.pdf)","Related Content 2":"Bundled Payments for Care Improvement (BPCI) Initiative: General Information (https:\/\/innovation.cms.gov\/initiatives\/Bundled-Payments\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"117"},{"Title":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Year Three Evaluation Report: Volume 1 (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/strongstart-enhancedprenatalcare_evalrptyr3v1.pdf","Month of Publication":"May","Year of publication":"2017","Abstract":"Strong Start funds psychosocial approaches to reducing preterm birth and the incidence of low birthweight among infants born to women enrolled in Medicaid or CHIP.  Enhanced prenatal care services are provided in three approaches to care: maternity care homes, group prenatal care, and birth centers.  Volume I provides cross-cutting descriptive information on participant characteristics, birth outcomes, and services provided to women in 27 programs in more than 30 states, Puerto Rico, and Washington, DC.  A statistical analysis of programs controlling for participant risk compares birth outcomes among the three approaches. Volume II provides information for each program individually.","Keywords":"Strong Start for Mothers and Newborns Initiative, Enhanced Prenatal Care, mothers, babies, prenatal, Volume 1","Type":"Reports","Related Content":"Strong Start for Mothers and Newborns Initiative: Enhanced Prenatal Care Models (https:\/\/innovation.cms.gov\/initiatives\/Strong-Start-Strategy-2\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"118"},{"Title":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Year Three Evaluation Report: Volume 2 (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/strongstart-enhancedprenatalcare_evalrptyr3v2.pdf","Month of Publication":"May","Year of publication":"2017","Abstract":"Strong Start funds psychosocial approaches to reducing preterm birth and the incidence of low birthweight among infants born to women enrolled in Medicaid or CHIP.  Enhanced prenatal care services are provided in three approaches to care: maternity care homes, group prenatal care, and birth centers.  Volume I provides cross-cutting descriptive information on participant characteristics, birth outcomes, and services provided to women in 27 programs in more than 30 states, Puerto Rico, and Washington, DC.  A statistical analysis of programs controlling for participant risk compares birth outcomes among the three approaches. Volume II provides information for each program individually.","Keywords":"Strong Start for Mothers and Newborns Initiative, Enhanced Prenatal Care, mothers, babies, prenatal, Volume 2","Type":"Reports","Related Content":"Strong Start for Mothers and Newborns Initiative: Enhanced Prenatal Care Models (https:\/\/innovation.cms.gov\/initiatives\/Strong-Start-Strategy-2\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"119"},{"Title":"Multi-Payer Advanced Primary Care Practice - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/mapcp-finalevalrpt.pdf","Month of Publication":"June","Year of publication":"2017","Abstract":"The Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration was a multi-payer initiative supported by the Innovation Center under 402 authority. Under this demonstration, Medicare participated with Medicaid and private payers in eight state-led, patient-centered medical home initiatives, providing support to primary care practices and other entities (e.g., community health teams) through monthly care management fees and data feedback. This report contains the final evaluation findings on impacts of the demonstration and how implementation affected outcomes. Overall, Medicare and Medicaid outcomes were mixed and inconsistent across states, with half of the states achieving cost savings, overall positive impacts on readmission rates and medical specialist visits, and overall negative impacts on emergency department rates, admission rates, and primary care visit rates. Because it was not conducted under 3021 authority, the demonstration ended on December 2016 and was not scaled. However, these results have informed other Innovation Center models, including the Comprehensive Primary Care (CPC) initiative and CPC Plus, and will be used to inform future alternate payment models. For example, CPC and CPC+ emphasized positive features of the MAPCP Demonstration and state PCMH initiatives, including the importance of having a convener and multiple payers involved as well as the value of data feedback tools and learning systems to practices. They also incorporated lessons learned, including the importance of using a stepwise approach to practice transformation.","Keywords":"Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration, Medicare, Medicaid, primary care, Comprehensive Primary Care Initiative (CPCI), Comprehensive Primary Care Plus (CPC+)","Type":"Reports","Related Content":"Multi-Payer Advanced Primary Care Practice (https:\/\/innovation.cms.gov\/initiatives\/Multi-Payer-Advanced-Primary-Care-Practice\/)","Related Content 2":"Multi-Payer Advanced Primary Care Practice - Final Evaluation Report Appendices (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/mapcp-finalevalrpt-appendix.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"120"},{"Title":"FQHC Advanced Primary Care Practice Demonstration - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/fqhc-finalevalrpt.pdf","Month of Publication":"June","Year of publication":"2017","Abstract":"In November 2011, CMS launched a three-year demonstration to support federally qualified health centers (FQHCs) with delivery of advanced primary care (APC) to Medicare beneficiaries. Under this demonstration, FQHCs were expected to achieve Level 3 recognition as a patient-centered medical home from the National Committee for Quality Assurance (NCQA) by the end of the demonstration. This Final Evaluation Report includes quantitative findings through the end of the demonstration on October 31, 2014 and qualitative findings from focus groups, site visits and interviews. At the end of the demonstration, 70% of demonstration FQHCs achieved National Committee for Quality Assurance (NCQA) PCMH Level 3 recognition while only 11% of comparison FQHCs had achieved the same level of recognition. More than half of those that achieved NCQA PCMH Level 3 recognition did so in the last quarter of the demonstration.  Over the course of the demonstration the results show an increase in primary care and FQHC visits. Contrary to expectations, the demonstration showed an increase in total Medicare expenditures, emergency department visits, and inpatient admissions. These findings are likely driven by demonstration FQHCs doing a better job connecting beneficiaries to specialists and securing home care and skilled nursing care services. While this demonstration was not scaled the learnings from the FQHC APCP Demonstration have been used to inform other primary care models, such as CPC+.  For example, one of the biggest lessons learned was the importance of a multi-payer approach in designing and implementing our CMMI models.  Additionally, CMMI has become more inclusive of other approaches to medical home recognition, not focusing on NCQA PCMH recognition.","Keywords":"FQHC Advanced Primary Care Practice Demonstration, Federally Qualified Health Center, primary care, Medicare, Medicaid, patient-centered medical home, PCMH, care coordination, care management","Type":"Reports","Related Content":"Final Evaluation Report Appendix I-N (PDF)  |  (https:\/\/downloads.cms.gov\/files\/cmmi\/fqhc-finalevalrpt-appi-n.pdf)","Related Content 2":"Final Evaluation Report Appendix B-H (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/fqhc-finalevalrpt-appb-h.pdf)","Related Content 3":"Final Evaluation Report Appendix A (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/fqhc-finalevalrpt-app-a.pdf)","Related Content 4":"FQHC Advanced Primary Care Practice Demonstration  | (https:\/\/innovation.cms.gov\/initiatives\/FQHCs\/)","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"121"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Final Year 1 and Preliminary Year 2 Savings Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-wa-finalyr1prelimyr2.pdf","Month of Publication":"July","Year of publication":"2017","Abstract":"The Centers for Medicare \u0026 Medicaid Services (CMS) is releasing an actuarial savings report for the Washington Health Home Demonstration under the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative. The report provides final Medicare savings estimates for Demonstration Year 1 (Jul. 2013  -  Dec. 2014) and preliminary Medicare savings estimates for Demonstration Year 2 (Jan.  -  Dec. 2015) for the Washington managed fee-for-service model demonstration.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Financial Alignment Initiative for Medicare-Medicaid Enrollees - Final Year 1 and Preliminary Year 2 Savings Report, Medicare, Medicaid, dual-eligible, capitated, care coordination","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"122"},{"Title":"Medicaid Incentives for the Prevention of Chronic Disease (MIPCD) Model - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/mipcd-finalevalrpt.pdf","Month of Publication":"August","Year of publication":"2017","Abstract":"CMS is releasing a report entitled, Final Report: Medicaid Incentives for the Prevention of Chronic Disease (MIPCD). This report presents the final comprehensive results from September, 2011 through September, 2016. MIPCD was created to develop evidence-based chronic disease prevention programs that provide incentives to Medicaid beneficiaries to encourage behavior change. All 10 States (California, Connecticut, Hawaii, Minnesota, Montana, Nevada, New Hampshire, New York, Texas, and Wisconsin) successfully implemented Medicaid incentive programs. Many program participants used significantly more of a preventive service if they received a financial incentive. States also saw some success in improving health outcomes among participants.","Keywords":"Medicaid Incentives for the Prevention of Chronic Disease (MIPCD) Model - Final Evaluation Report (PDF), state, behavior change, incentives, health risks, health outcomes, special populations, Medicaid","Type":"Reports","Related Content":"Medicaid Incentives for the Prevention of Chronic Disease (MIPCD) Model (https:\/\/innovation.cms.gov\/initiatives\/MIPCD\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"123"},{"Title":"Health Care Innovation Awards Round Two - Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia2-yrtwoannualrpt.pdf","Month of Publication":"August","Year of publication":"2017","Abstract":"The Health Care Innovation Awards Round Two (HCIA R2) second annual report covers the awardees implementation experiences during the second program year (September 2015 to August 2016). The report highlights the changes in program features, including the modifications that awardees made to their service delivery and payment models during their second program year. In HCIA R2, 39 organizations were awarded three-year cooperative agreements to implement their innovative models for improving the quality of both care and health, and for lowering the cost of care for Medicare, Medicaid, and Childrens Health Insurance Program (CHIP) beneficiaries. HCIA R2 focused on models designed (1) to rapidly reduce Medicare, Medicaid, and\/or CHIP costs in outpatient and\/or post-acute settings; (2) to improve care for populations with specialized needs; (3) to test approaches for specific types of providers to transform their financial and clinical models; and (4) to improve the health of populations  -  defined geographically, clinically, or by socioeconomic class  -  through activities focused on engaging beneficiaries, prevention, wellness, and comprehensive care that extend beyond the clinical service delivery setting.","Keywords":"Health Care Innovation Awards Round Two, HCIA, Medicare, Medicaid, Childrens Health Insurance Program (CHIP)","Type":"Reports","Related Content":"Health Care Innovation Awards Round Two (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/Round-2.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"124"},{"Title":"Health Care Innovation Awards Hospital Setting - Third Annual Report Addendum (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/hcia-hospitalsetting-thirdannrpt-addendum.pdf","Month of Publication":"August","Year of publication":"2017","Abstract":"CMS is releasing seven addendums to the Third Annual Reports (released in March 2017) from the evaluation of the first round of the Health Care Innovation Awards. These addendums supplement the information from the Third Annual Reports and provide the findings for awardees who received no cost extensions (NCEs) and include additional analyses for some awardees that did not receive NCEs that had delays in data availability. The HCIA Hospital Setting Third Annual Report Addendum covers additional analyses for 2 of the 10 awardees in the portfolio that were granted no-cost extensions and enrolled new patients: Methodist Hospital Research Institute - Delirium (Methodist Delirium) and Methodist Hospital Research Institute  -  Sepsis (Methodist Sepsis). The awardees focused on preventing delirium and sepsis, respectively. This report presents final estimates on program effectiveness on the analyses of core measures, cost, hospital readmissions, emergency department (ED) visits, and all-cause hospitalizations, through the no-cost extension periods, which were March 31, 2016 for the sepsis program and June 30, 2016 for the delirium program.","Keywords":"Health Care Innovation Awards, Health Care Innovation Awards Hospital Setting - Third Annual Report Addendum, HCIA, hospital interventions","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"125"},{"Title":"Health Care Innovation Awards Disease Specific - Third Annual Report Addendum (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/hcia-diseasespecific-thirdannrpt-addendum.pdf","Month of Publication":"August","Year of publication":"2017","Abstract":"CMS is releasing seven addendums to the Third Annual Reports (released in March 2017) from the evaluation of the first round of the Health Care Innovation Awards. These addendums supplement the information from the Third Annual Reports and provide the findings for awardees who received no cost extensions (NCEs) and include additional analyses for some awardees that did not receive NCEs that had delays in data availability. The HCIA Disease-Specific Third Annual Report Addendum covers additional information and analyses for 8 of the 18 awardees in the portfolio that were granted no-cost extensions. The awardees addressed a wide variety of conditions that include coronary heart disease, pediatric asthma, stroke, cancer, dementia, and diabetes. This report presents final estimates on the analyses of core measures,\u00c3\u00b9cost, hospital readmissions, emergency department (ED) visits, and all-cause hospitalizations through the no-cost extension periods, which ranged from 3-12 months.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Disease Specific - Third Annual Report Addendum, Alzheimers disease, dementia, cancer, cardiovascular disease (CVD), stroke, chronic pain, diabetes, end-stage renal disease (ESRD), pediatric asthma","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"126"},{"Title":"Health Care Innovation Awards Medication Management\/Shared Decision Making - Third Annual Report Addendum (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-shareddecisionmaking-medmgt-thirdannualaddendum.pdf","Month of Publication":"August","Year of publication":"2017","Abstract":"CMS is releasing seven addendums to the Third Annual Reports (released in March 2017) from the evaluation of the first round of the Health Care Innovation Awards. These addendums supplement the information from the Third Annual Reports and provide the findings for awardees who received no cost extensions (NCEs) and include additional analyses for some awardees that did not receive NCEs that had delays in data availability. The awardees in this group aim to improve patient health, reduce health care resource use, and lower health care expenditures through novel patient care shared decision making and medication management interventions. This Third Annual Report Addendum presents final impact analyses for three of these nine awardees through the end of their HCIA no-cost extension period. Welvie, LLC and the University of Hawaii were the only awardees to receive a no-cost extension and continued to deliver the full interventions to beneficiaries enrolled in their programs. The Third Annual Report Addendum includes evaluations using the most recent Medicare claims data available for Welvie, LLCs shared decision making program and University of Hawaiis \u00c3\u00acPharm2Pharm\u0022 medication management program. This addendum also includes the first quantitative analysis of University of Pennsylvanias \u00c3\u00acHeartStrong\u0022 medication management program.","Keywords":"Health Care Innovation Awards, Health Care Innovation Awards Medication Management\/Shared Decision Making, HCIA, care management, care options, shared decision making","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"127"},{"Title":"Health Care Innovation Awards Complex High-Risk Patient Targeting - Third Annual Report Addendum (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-chspt-thirdannualrptaddendum.pdf","Month of Publication":"August","Year of publication":"2017","Abstract":"CMS is releasing seven addendums to the Third Annual Reports (released in March 2017) from the evaluation of the first round of the Health Care Innovation Awards. These addendums supplement the information from the Third Annual Reports and provide the findings for awardees who received no cost extensions (NCEs) and include additional analyses for some awardees that did not receive NCEs that had delays in data availability. This report presents updated findings for 15 awardees in the complex\/high-risk patient portfolio. The awardees in this portfolio share a focus on serving populations with complex health needs who are at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Of the 15 awardees in the report, 12 had no-cost extensions beyond a one-to three-month close-out period. For the remaining three awardees, this reports presents either new subgroup analyses based on claims or analyses based on claims data newly available that cover the initial period of performance. The data reported varies based on the length of the no cost extension, but the latest period ends no later than June 30, 2016 for those receiving a 12 month extension. Program effectiveness on key outcomes of interest (e.g., measures) presented in this report include total cost of care, utilization (i.e., all-cause hospital admissions, emergency department visits, hospital readmissions), quality of care (e.g., ambulatory care-sensitive hospitalizations, practitioner follow-up visits post-hospital discharge, potentially avoidable hospitalizations), and beneficiary health and well-being.","Keywords":"Health Care Innovation Awards, ealth Care Innovation Awards Complex High-Risk Patient Targeting - Third Annual Report Addendum, HCIA, nursing home, emergency department, high-risk health need","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"128"},{"Title":"Health Care Innovation Awards Behavioral Health and Substance Abuse Awards - Third Annual Report Addendum (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-bhsa-thirdannrptaddendum.pdf","Month of Publication":"August","Year of publication":"2017","Abstract":"CMS is releasing seven addendums to the Third Annual Reports (released in March 2017) from the evaluation of the first round of the Health Care Innovation Awards. These addendums supplement the information from the Third Annual Reports and provide the findings for awardees who received no cost extensions (NCEs) and include additional analyses for some awardees that did not receive NCEs that had delays in data availability. This report covers 4 of the 10 HCIA Behavioral Health\/Substance Abuse awardees for which additional data was acquired or further analyses were performed after the Third Annual Report (the Fund for Public Health in New York, Kitsap Mental Health Services, Maimonides Medical Center, and ValueOptions). For the four awardees included in this addendum, a comparison group design was utilized and difference-in-differences analyses conducted. This approach allowed the examination of what might have happened had the HCIA-funded program not been implemented (that is, the counterfactual) and to draw reasonably strong conclusions about a programs impact on outcomes of interest. The report focuses of  \u00c3\u00actelling the story\u0022 of each awardee by describing its program objectives, implementation experiences, and participants outcomes, using the CMS Innovation Centers four core measures (cost, hospitalizations, readmissions, ED visits) to the extent possible.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Behavioral Health and Substance Abuse Awards - Third Annual Report Addendum, behavioral health, mental health, substance abuse","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"129"},{"Title":"Health Care Innovation Awards Community Resource Planning, Prevention and Monitoring - Third Annual Report Addendum (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-crppm-thirdannrptaddendum.pdf","Month of Publication":"August","Year of publication":"2017","Abstract":"CMS is releasing seven addendums to the Third Annual Reports (released in March 2017) from the evaluation of the first round of the Health Care Innovation Awards. These addendums supplement the information from the Third Annual Reports and provide the findings for awardees who received no cost extensions (NCEs) and include additional analyses for some awardees that did not receive NCEs that had delays in data availability.  The Community Resources awardees targeted various components including coordination of care, process of care, health information technology, decision support, provider payment reform, direct health care and dental services, and the health care workforce. This report covers five of the 24 Community Resources awardees with no-cost extensions (Bronx RHIO, Curators, MPHI, REMSA, Y-USA) and also includes claims data analyses and qualitative results for 16 awardees through June 2016. The evaluation used mixed methods to understand program effectiveness and impacts on utilization and spending. This report updates quantitative and qualitative findings for the one-year time period (through June 30, 2016) that awardees continued their innovations after the award period ended, and for awardees with new data available for analysis.  This report presents final estimates of program impacts on spending and utilization based on regression-based difference-in-differences analysis.","Keywords":"Health Care Innovation Awards, HCIA, Health Care Innovation Awards Community Resource Planning, Prevention and Monitoring - Third Annual Report Addendum, community resources","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"130"},{"Title":"Health Care Innovation Awards Primary Care Redesign - Third Annual Report Addendum (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/hcia-primarycareredesign-thirdannrpt-addendum.pdf","Month of Publication":"August","Year of publication":"2017","Abstract":"CMS is releasing seven addendums to the Third Annual Reports (released in March 2017) from the evaluation of the first round of the Health Care Innovation Awards. These addendums supplement the information from the Third Annual Reports and provide the findings for awardees who received no cost extensions (NCEs) and include additional analyses for some awardees that did not receive NCEs that had delays in data availability. The report provides final evaluation results for the 4 awardees of the primary care redesign (PCR) interventions. Three of the four awardees on this report focused on practice transformation (Finger Lake Health Systems Agency (FLSHA), CareFirst BlueCross BlueShield, and University Hospitals of Cleveland (UHC)). The fourth awardee, Research Institute and Nationwide Childrens Hospital (NCH), implemented a novel intervention for transitional care. The report presents final estimates of program impacts on spending, utilization, and other relevant patient outcome measures for the first time for 2 awardees (Research Institute at Nationwide Childrens Hospital (NCH) and University Hospitals Cleveland (UHC). It also provides updates on 2 PCR awardees who had preliminary results in the Third Annual Report and received no-cost extensions (CareFirst BlueCross BlueShield (CareFirst) and Finger Lakes Health Systems Agency (FLHSA)). Finally, it includes a summary of impact conclusions across all 12 HCIA-PCR awardees for the entire award period which ended June 30, 2016.","Keywords":"Health Care Innovation Awards, Health Care Innovation Awards Primary Care Redesign - Third Annual Report Addendum, HCIA, primary care, care coordination, care management","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"131"},{"Title":"State Innovation Models Initiative: Model Test Round One Awards Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/sim-rd1mt-thirdannrpt.pdf","Month of Publication":"September","Year of publication":"2017","Abstract":"This Third Annual Report on Round One Model Test States examines ongoing implementation efforts (2015-2016) and the most recently available data on costs and utilization for Medicaid beneficiaries across the entire state after the first performance year (2014) in Maine, Massachusetts, and Vermont.","Keywords":"State Innovation Model Initiative: Model Test Round One Awards Third Annual Report, State Innovation Awards, SIM, Medicaid","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Test Awards Round One (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Testing\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"132"},{"Title":"Maryland All-Payer Model - Second Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/md-all-payer-secondannrpt.pdf","Month of Publication":"September","Year of publication":"2017","Abstract":"This second annual report presents the evaluation results for the first two years of the Maryland All-Payer Model (MDAPM). MDAPM is an innovative alternative payment model that tests whether an all-payer system for hospital payment is an effective model for advancing better care, better health and reduced costs. The results indicate that the MDAPM reduced both total Medicare expenditures and total hospital expenditures relative to the comparison group without shifting costs to other parts of the health care system outside of the global hospital budgets.","Keywords":"Maryland All-Payer Model - Second Annual Report, Maryland, MD, all-payer, multi-payer, alternative payment model, APM, Medicare","Type":"Reports","Related Content":"Maryland All-Payer Model (https:\/\/innovation.cms.gov\/initiatives\/Maryland-All-Payer-Model\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"133"},{"Title":"Graduate Nurse Education Demonstration  -  Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/gne-rtc.pdf","Month of Publication":"October","Year of publication":"2017","Abstract":"This Report to Congress and the Volume 1 and Volume 2 Reports, provide the initial 4-year evaluation findings of the impact of the Graduate Nurse Education demonstration project, on the following: (1) the growth in the number of advanced practice registered nurses (APRNs) with respect to a specific base year; (2) the growth in each of the following APRN specialties; clinical nurse specialist, nurse practitioner, certified registered nurse anesthetist, and certified nurse-midwife; and (3) costs to the Medicare program under title XVIII of the Social Security Act as a result of the demonstration. The Volume 1 and 2 Reports provide more comprehensive information including a detailed description of the evaluation methodology. One of the key findings suggests that the demonstration project may be associated with an overall increase in APRN student enrollment and graduations.","Keywords":"Graduate Nurse Education Demonstration  -  Report to Congress, Graduate Nurse Education Demonstration, GNE, advanced practice registered nurses (APRNs), nurse specialist, nurse practitioner, certified registered nurse anesthetist, and certified nurse-midwife, Medicare","Type":"Reports","Related Content":"Volume 2 Accompanying Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/gne-rtc-vol2.pdf)","Related Content 2":"Volume 1 Accompanying Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/gne-rtc-vol1.pdf)","Related Content 3":"Graduate Nurse Education Demonstration  | (https:\/\/innovation.cms.gov\/initiatives\/GNE\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"134"},{"Title":"State Innovation Models Initiative: Model Design Awards Round Two Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/sim-designrd2-final.pdf","Month of Publication":"October","Year of publication":"2017","Abstract":"This report is a document review of State Health System Innovation Plans (SHSIPs) and other relevant documents provided by the 21 SIM Round 2 Model Design awardees on their plans for health care transformation.","Keywords":"State Innovation Models Initiative: Model Design Awards Round Two Final Evaluation Report, State Innovation Models Initiative: Model Design Awards Round Two, SIM, State Health System Innovation Plans (SHSIPs), states","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Design Awards Round Two (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Design-Round-Two\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"135"},{"Title":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/irahnfr-finalevalrpt.pdf","Month of Publication":"October","Year of publication":"2017","Abstract":"The Initiative to Reduce Avoidable Hospitalization among Nursing Facility Residents was designed to reduce hospitalization rates among long-stay nursing facility residents by directly changing practices at the facility level through staff training and enhanced clinical care. The Initiative was implemented from 2012 - 2016 by seven Enhanced Care and Coordination Provider (ECCP) organizations. Each ECCP operated in one of seven states (Alabama, Indiana, Missouri, Nebraska, Nevada, New York, and Pennsylvania), and a total of 143 nursing facilities participated. This report presents the final comprehensive results from September, 2013 through September, 2016. Results are that significant savings reductions in Medicare costs were achieved by 4 of the 7 ECCPs, but when administrative grant funding is factored into the analysis, Initiative costs were more than those of the comparison group.","Keywords":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents - Final Evaluation Report, Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents, nursing facility, Enhanced Care and Coordination Provider (ECCP) organizations, Medicare","Type":"Reports","Related Content":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents (https:\/\/innovation.cms.gov\/initiatives\/rahnfr\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"136"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Colorado Preliminary Year 1 Savings Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-co-prelimyr1savings.pdf","Month of Publication":"October","Year of publication":"2017","Abstract":"The Centers for Medicare \u0026 Medicaid Services (CMS) is releasing an actuarial savings report for the Colorado Managed Fee-for-service Demonstration under the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative. The report provides preliminary savings estimates for Demonstration Year 1 (Sep. 2014  -  Dec. 2015).","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Colorado Preliminary Year 1 Savings Report, Financial Alignment Initiative for Medicare-Medicaid Enrollees, Colorado, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"137"},{"Title":"Bundled Payments for Care Improvement Initiative Models 2-4 - Third Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/bpci-models2-4yr3evalrpt.pdf","Month of Publication":"October","Year of publication":"2017","Abstract":"The Centers for Medicare and Medicaid Services is releasing the third annual evaluation and monitoring report for the Bundled Payments for Care Improvement (BPCI) Models 2-4 initiative. This annual report provides evaluation findings for BPCI Models 2, 3, and 4 covering October 1, 2013-September 30, 2015. This report includes an average of three quarters of data across participating providers. There was a sufficient sample size to examine twenty-three clinical episodes under Model 2 acute care hospital Episode Initiators (EI), eleven clinical episodes under Model 3 skilled nursing facility EIs, three clinical episodes under Model 3 home health agency EIs, and two clinical episodes under Model 4 acute care hospital EIs. Twenty of these clinical episodes are analyzed further in separate clinical episode issue briefs within the report. The report also includes a chapter covering cross model comparisons for a few clinical episodes. Episodes initiated by physician group practices (PGP) were not evaluated due to data issues and will be evaluated in future reports.","Keywords":"Bundled Payments for Care Improvement Initiative Models 2-4 - Third Evaluation Report, Bundled Payments for Care Improvement Initiative, BPCI, models 2-4","Type":"Reports","Related Content":"Bundled Payments for Care Improvement (BPCI) Initiative: General Information (https:\/\/innovation.cms.gov\/initiatives\/Bundled-Payments\/)","Related Content 2":"Appendices (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/bpci-models2-4yr3evalrpt-app.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"138"},{"Title":"Episodic Alternative Payment Model for Radiation Therapy Services - Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/radiationtherapy-apm-rtc.pdf","Month of Publication":"October","Year of publication":"2017","Abstract":"Section 3(b) of the Patient Access and Medicare Protection Act (PAMPA) (P.L. 114-115) directs the Secretary of Health and Human Services to submit a report to Congress on the development of an episodic alternative payment model (APM) for Medicare payment under title XVIII of the Social Security Act (the Act) for radiation therapy services furnished in non-facility settings. The Centers for Medicare \u0026 Medicaid Services (CMS) has prepared and released this report. The CMS Innovation Center has studied the cost, utilization, and quality of cancer treatment with radiation therapy; consulted with radiation therapy stakeholders; and evaluated design elements to develop this Report to Congress on an episodic APM for radiation therapy. This Report to Congress addresses each of these topics while exploring key design elements for a potential radiation therapy services episodic APM.","Keywords":"Episodic Alternative Payment Model for Radiation Therapy Services - Report to Congress, Report to Congress (RTC), episodic alternative payment model (APM), cancer","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"139"},{"Title":"Community-based Care Transitions Program - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/cctp-final-eval-rpt.pdf","Month of Publication":"November","Year of publication":"2017","Abstract":"The Community-based Care Transitions Program (CCTP), created by Section 3026 of the Affordable Care Act, ran from February 2012 to January 2017 and was developed with the goal of improving care transitions. This final report evaluates whether participation in the CCTP was associated with lower readmissions and expenditures for beneficiaries who were directly served by the CCTP for all 101 sites and whether these beneficiary-level associations were large enough to have a hospital-wide impact for the subset of 44 extended sites. A Site Specific Supplement provides a profile of each of the extended 44 sites.","Keywords":"Community-based Care Transitions Program - Final Evaluation Report, Community-based Care Transitions Program, CCTP, care transitions","Type":"Reports","Related Content":"Community-based Care Transitions Program (https:\/\/innovation.cms.gov\/initiatives\/CCTP\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"140"},{"Title":"Community-based Wellness and Prevention Programs - Six-Month Follow-Up Survey Outcomes and Estimated Operational Costs Prospective Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/community-basedwellnessrrevention-sixthmnthoutcomes-operationalcostrpt.pdf","Month of Publication":"December","Year of publication":"2017","Abstract":"The Evaluation of Community-based Wellness and Prevention Programs is an ongoing study of Medicare beneficiaries to determine if participation in wellness programs improves health and utilization outcomes. The Report on Six-Month Follow-Up Survey Outcomes and Estimated Operational Costs contains estimates of the proportion of the general population of Medicare beneficiaries who are ready to participate in an evidence-based wellness programs, the effect of beneficiary participation in wellness programs on subsequent self-reported health outcomes and behaviors, and operational costs of program delivery.","Keywords":"Community-based Wellness and Prevention Programs, Medicare, wellness programs","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"141"},{"Title":"Comprehensive ESRD Care Model - Performance Year 1 Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/cec-annrpt-py1.pdf","Month of Publication":"December","Year of publication":"2017","Abstract":"The Comprehensive ESRD Care (CEC) Model is designed to identify, test, and evaluate new ways to improve care for Medicare beneficiaries with End-Stage Renal Disease (ESRD). Through the CEC Model, CMS is partnering with dialysis facilities and nephrologists that form ESRD Seamless Care Organizations (ESCOs), which are specialty-based Accountable Care Organizations.  The Performance Year 1 Annual Evaluation Report contains impact estimates for CEC on quality of care, quality of life, utilization, and cost outcomes in the first performance year of the model, which lasted from October 2015 to December 2016. It also presents descriptive information about ESCOs and their reasons for participating in CEC.","Keywords":"Comprehensive ESRD Care Model  -  Performance Year 1 Annual Report (PDF), Comprehensive ESRD Care Model, ESRD","Type":"Reports","Related Content":"Comprehensive ESRD Care Model (https:\/\/innovation.cms.gov\/initiatives\/comprehensive-ESRD-care\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"142"},{"Title":"State Innovation Models Initiative: Model Test Awards Round Two First Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/sim-round2test-firstannrpt.pdf","Month of Publication":"January","Year of publication":"2018","Abstract":"The First Annual Report for the State Innovation Models (SIM) Round Two Model Test States qualitatively examines implementation efforts (through June, 2016) for the eleven Test States: Colorado, Connecticut, Delaware, Iowa, Idaho, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington.","Keywords":"State Innovation Models Initiative: Model Test Awards Round Two First Annual Report, State Innovation Models Initiative (SIM), states","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Test Awards Round Two (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Testing-Round-Two\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"143"},{"Title":"Evaluation of the Diffusion and Impact of the Chronic Care Management (CCM) Services - Final Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/chronic-care-mngmt-finalevalrpt.pdf","Month of Publication":"January","Year of publication":"2018","Abstract":"CMS is releasing an evaluation report on the diffusion and impact of Chronic Care Management (CCM) payment (CPT code 99490). Specifically, CMS reports that from January 2015 to December 2016 about 685,000 beneficiaries received CCM services, and 16,549 individual healthcare providers billed for a total of $105.8 million in CCM fees in the first two years of the new payment policy.  Beneficiaries who received CCM services had experienced a lower growth rate in health care expenditures, compared to those who did not receive CCM services. The decreased rate of growth was driven by decreases in expenditures for inpatient hospital services, skilled nursing facility services, and outpatient services; the decreased expenditures were partially offset by increased expenditures of home health and professional services.","Keywords":"Evaluation of the Diffusion and Impact of the Chronic Care Management (CCM) Services - Final Report, primary care, Medicare, fee-for-service (FFS), care coordination","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"144"},{"Title":"Oncology Care Model - First Annual Report: Baseline Period (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/ocm-baselinereport.pdf","Month of Publication":"February","Year of publication":"2018","Abstract":"This report focuses on the timeframe prior to the launch of the model in July 2016, with the goal of providing information on the foundational elements and design of the evaluation including the creation of a comparison group. The evaluation was able to identify OCM practices and matched comparison groups that were alike in the baseline period (January 2014-December 2015). As examples, we note similarities in average Medicare total episode cost of care, average market characteristics and trends, and the number of comorbidities for beneficiaries receiving care from OCM practices and comparison practices. The most consistent difference we identified was for end-of-life measures. Future reports will provide quantitative and qualitative results for the model. OCM began on July 1, 2016 and will run through June 30, 2021.","Keywords":"Oncology Care Model - First Annual Report: Baseline Period, Oncology Care Model, OCM, cancer","Type":"Reports","Related Content":"Oncology Care Model (https:\/\/innovation.cms.gov\/initiatives\/Oncology-Care\/)","Related Content 2":"Appendices (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/ocm-firstannual-baselinerptapp.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"145"},{"Title":"Health Care Innovation Awards Meta-Analysis - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-metaanalysisthirdannualrpt.pdf","Month of Publication":"February","Year of publication":"2018","Abstract":"The Third Annual Report synthesizes findings from across the Health Care Innovation Awards (HCIA) Round 1 portfolio. It covers implementation and impacts findings through the end of award period, including 129 unique interventions. This report draws from the seven HCIA round 1 reports released in August 2017, providing lessons learned and impact estimates synthesized across the reports.","Keywords":"Health Care Innovation Awards Meta-Analysis - Third Annual Report, Health Care Innovation Awards (HCIA)","Type":"Reports","Related Content":"Health Care Innovation Awards (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"146"},{"Title":"Primary Care Initiatives Systematic Review - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/primarycare-finalevalrpt.pdf","Month of Publication":"February","Year of publication":"2018","Abstract":"This final report presents the findings of a systematic review of primary care initiatives conducted by the Center for Medicare and Medicaid Innovation. It includes a meta-analysis of findings, and a systematic review comparing, contrasting, and synthesizing, the findings and lessons learned from six CMMI primary care initiatives  -   the Comprehensive Primary Care (CPC) Initiative, the Federally Qualified Health Center (FQHC) Demonstration, the Independence at Home (IAH) initiative, the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration, Round 1 of State Innovation Models (SIM), and the Health Care Innovation Award (HCIA) Primary Care Redesign awards which CMS identified as the most focused on primary care redesign. The review addresses the following questions: 1) what was the impact of these primary care redesign initiatives on four core outcomes identified by CMS (Medicare costs, hospital admissions, emergency department visits, and 30-day readmissions), and did the impacts vary for different population groups?; 2) What external and internal factors assisted practices with transforming into advanced primary care practices?; 3) What was the greatest challenges in evaluating the six initiatives impacts?; and 4) What are the implications of these findings for further testing or for scaling initiatives like these?","Keywords":"Primary Care Initiatives Systematic Review - Final Evaluation Report, primary care, Comprehensive Primary Care (CPC) Initiative, Federally Qualified Health Center (FQHC) Demonstration, Independence at Home (IAH) initiative, Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration, State Innovation Models (SIM) Round 1, Health Care Innovation Award (HCIA)","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"147"},{"Title":"Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT) - First Interim Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/rsnat-firstintevalrpt.pdf","Month of Publication":"February","Year of publication":"2018","Abstract":"The First Interim Evaluation Report of the Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT) evaluates prior authorization as a means of reducing utilization of unnecessary RSNAT services while maintaining\/improving quality of care and reducing the high improper claim rate for RSNAT services. The findings indicate that prior authorization successfully reduced RSNAT service utilization and expenditures and Total Medicare expenditures for ESRD beneficiaries. The model is associated with an approximately $171 million reduction in RSNAT service expenditures for ESRD beneficiaries and a corresponding decrease in total Medicare fee-for service expenditures. Quality of care improved significantly for ESRD beneficiaries for emergency department (ED) visits, emergency ambulance utilization, unplanned inpatient admissions, and mortality.","Keywords":"Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT) - First Interim Evaluation Report, Medicare, prior authorization, ambulance transport, End-Stage Renal Disease (ESRD), fee for service (ffs), emergency department","Type":"Reports","Related Content":"Appendices (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/rsnat-firstintevalrpt-app.pdf)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"148"},{"Title":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - First Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/rahnfr-phasetwo-firstannrpt.pdf","Month of Publication":"February","Year of publication":"2018","Abstract":"The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents  -  Payment Reform introduced a new payment model that pays long-term care facilities for providing higher-intensity care on site and pays practitioners to treat eligible long-stay residents at the facility instead of transferring them to hospitals. This second phase of the Initiative focuses on six target conditions that account for most potentially avoidable hospitalizations: pneumonia, dehydration, congestive heart failure (CHF), urinary tract infection (UTI), skin ulcers\/cellulitis, and chronic obstructive pulmonary disease (COPD)\/asthma. Six Enhanced Care and Coordination Provider (of the original seven) were selected to participate in Phase Two; ECCPs partner with about 250 facilities across seven states (Alabama, Colorado, Indiana, Missouri, Nevada, New York, and Pennsylvania). This first annual evaluation report presents early findings from the Payment Reform phase through September 2017.","Keywords":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - First Annual Report, Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents  -  Payment Reform, hospitalization, Medicare","Type":"Reports","Related Content":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two (https:\/\/innovation.cms.gov\/initiatives\/rahnfr-phase-two\/#main_content)","Related Content 2":"Appendices (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/rahnfr-phasetwo-firstannrptapp.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"149"},{"Title":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Year Four Evaluation Report: Volume 1 (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/strongstart-snhancedprenatalcaremodels_evalrptyr4v1.pdf","Month of Publication":"February","Year of publication":"2018","Abstract":"Strong Start funds psychosocial approaches to reducing preterm birth and the incidence of low birthweight among infants born to women enrolled in Medicaid or CHIP. Enhanced prenatal care services are provided in three approaches to care: maternity care homes, group prenatal care, and birth centers. Volume I of the fourth evaluation report provides cross-cutting descriptive information on participant characteristics, birth outcomes, and services provided to women in 27 programs in more than 30 states, Puerto Rico, and Washington, DC. A statistical analysis of programs controlling for participant risk compares birth outcomes among the three approaches, and qualitative analysis assesses sustainability. Volume II provides information for each program individually.","Keywords":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Year Four Evaluation Report: Volume 1 (PDF), Strong Start for Mothers and Newborns Initiative, Medicaid, Children\u0027s Health Insurance Plan (CHIP)","Type":"Reports","Related Content":"Strong Start for Mothers and Newborns Initiative: Enhanced Prenatal Care Models (https:\/\/innovation.cms.gov\/initiatives\/Strong-Start-Strategy-2\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"150"},{"Title":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Year Four Evaluation Report: Volume 2 (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/strongstart-enhancedprenatalcaremodels_evalrptyr4v2.pdf","Month of Publication":"February","Year of publication":"2018","Abstract":"Strong Start funds psychosocial approaches to reducing preterm birth and the incidence of low birthweight among infants born to women enrolled in Medicaid or CHIP. Enhanced prenatal care services are provided in three approaches to care: maternity care homes, group prenatal care, and birth centers. Volume I of the fourth evaluation report provides cross-cutting descriptive information on participant characteristics, birth outcomes, and services provided to women in 27 programs in more than 30 states, Puerto Rico, and Washington, DC. A statistical analysis of programs controlling for participant risk compares birth outcomes among the three approaches, and qualitative analysis assesses sustainability. Volume II provides information for each program individually.","Keywords":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Year Four Evaluation Report: Volume 2 (PDF), Strong Start for Mothers and Newborns Initiative, Medicaid, Children\u0027s Health Insurance Plan (CHIP)","Type":"Reports","Related Content":"Strong Start for Mothers and Newborns Initiative: Enhanced Prenatal Care Models (https:\/\/innovation.cms.gov\/initiatives\/Strong-Start-Strategy-2\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"151"},{"Title":"Community-based Wellness and Prevention Programs - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/community-basedwellnessandprevention-finalreport.pdf","Month of Publication":"February","Year of publication":"2018","Abstract":"The Evaluation of Community-based Wellness and Prevention Programs studied Medicare beneficiaries to determine if participation in wellness programs improved health and utilization outcomes. The Final Report contains changes in self-reported health at 12 months and changes in utilization, cost, falls, and medication adherence at 6 and 12 months for Medicare fee-for-service (FFS) beneficiaries who participated in six wellness programs, compared to a nationally representative, matched comparison group.","Keywords":"Community-based Wellness and Prevention Programs - Final Evaluation Report, wellness programs, fee-for-service (FFS)","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"152"},{"Title":"Medicaid Innovation Accelerator Program (IAP) - Interim Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/miap-interimevalrpt.pdf","Month of Publication":"March","Year of publication":"2018","Abstract":"The Medicaid Innovation Accelerator Program (IAP) is a collaboration between CMMI and CMCS to provide targeted support and resources to state Medicaid programs and their partners to support ongoing state efforts related to payment and delivery system reforms. The IAP offers support to states in four priority program areas (i.e. Reducing Substance Use Disorders [SUD]; Improving Care for Beneficiaries with Complex Care Needs and High Costs [BCN]; Promoting Community Integration through Long-Term Services and Supports [CI-LTSS]; and Supporting Physical and Mental Health Integration [PMH]) and four functional areas (i.e. Data Analytics [DA]; Value-Based Payment and Financial Simulations [VBPFS]; Performance Improvement [PI]; and Quality Measurement [QM]). The IAP Interim Evaluation Report provides an interim assessment of the qualitative evaluation outcomes from program inception in 2014 to July 2017. This report presents results of the evaluation of participants experiences gathered through observation of group learning events and through interviews and focus groups with program participants and coaches. The evaluation found that the technical support was generally well-received by states and the program responded to rapid-cycle feedback. In general, IAP program area tracks that included one-on-one coaching as the mode of targeted support had more concrete results to share than did tracks that received only virtual group support. However, enough time has not yet elapsed to fully assess state Medicaid reform outcomes.","Keywords":"Medicaid Innovation Accelerator Program (IAP) - Interim Evaluation Report, states, Substance Use Disorders (SUD), Improving Care for Beneficiaries with Complex Care Needs and High Costs (BCN), Promoting Community Integration through Long-Term Services and Supports (CI-LTSS)","Type":"Reports","Related Content":"Medicaid Innovation Accelerator Program (IAP) (https:\/\/innovation.cms.gov\/initiatives\/MIAP\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"153"},{"Title":"State Innovation Models Initiative: Model Test Round One Awards Fourth Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/sim-rd1-mt-fourthannrpt.pdf","Month of Publication":"March","Year of publication":"2018","Abstract":"This Fourth Annual Report on Round One Model Test States examines ongoing implementation efforts (2017) and provides impact estimates based on the most recently available data on costs and utilization for Medicaid beneficiaries after the first and second performance years (2014-2016, depending on the state).","Keywords":"State Innovation Models Initiative: Model Test Round One Awards Fourth Annual Report, State Innovation Awards, SIM, Medicaid","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Test Awards Round One (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Testing\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"154"},{"Title":"Maryland All-Payer Model - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/md-all-payer-thirdannrpt.pdf","Month of Publication":"March","Year of publication":"2018","Abstract":"This third annual report presents the evaluation results for the first three years of the Maryland All-Payer Model (MDAPM). MDAPM is an innovative alternative payment model that has changed the way Maryland hospitals receive payment from Medicare. Maryland hospitals are paid on the basis of population within their service area, and not on the volume or value of the services that they provide to their patients. The model tests whether an all-payer system for hospital payment is an effective model for advancing better care, better health and reduced costs. The results indicate that the MDAPM reduced both total expenditures and total hospital expenditures for Medicare beneficiaries but not commercial plan members, relative to the comparison group, without shifting costs to other parts of the health care system outside of the global hospital budgets.","Keywords":"Maryland All-Payer Model - Third Annual Report, alternative payment model, APM, all-payer, Medicare","Type":"Reports","Related Content":"Maryland All-Payer Model - First Annual Report (PDF) (https:\/\/downloads.cms.gov\/files\/cmmi\/marylandallpayer-firstannualrpt.pdf)","Related Content 2":"Maryland All-Payer Model - Second Annual Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/md-all-payer-secondannrpt.pdf)","Related Content 3":"Maryland All-Payer Model   | (https:\/\/innovation.cms.gov\/initiatives\/Maryland-All-Payer-Model\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"155"},{"Title":"Comprehensive Primary Care (CPC) Initiative - Fourth Annual Evaluation Report","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/CPC-initiative-fourth-annual-report.pdf","Month of Publication":"May","Year of publication":"2018","Abstract":"In October 2012, the Center for Medicare \u0026 Medicaid Innovation of the Centers for Medicare \u0026 Medicaid Services (CMS), in a unique collaboration between public and private health care payers, launched the Comprehensive Primary Care (CPC) Initiative to improve primary care delivery in seven regions across the United States. The substantial transformation involved in achieving the core functions of CPC is expected to achieve better health care, better health outcomes, and lower costs. This fourth and final annual report describes the implementation and impacts of the CPC over its four years.","Keywords":"Comprehensive Primary Care (CPC) Initiative, primary care","Type":"Reports","Related Content":"Comprehensive Primary Care Initiative (https:\/\/innovation.cms.gov\/initiatives\/comprehensive-primary-care-initiative\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"156"},{"Title":"Bundled Payments for Care Improvement Initiative Models 2-4 - Fourth Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/bpci-models2-4-yr4evalrpt.pdf","Month of Publication":"June","Year of publication":"2018","Abstract":"The Centers for Medicare \u0026 Medicaid Services implemented the risk-bearing phase of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative under the authority of the Center for Medicare \u0026 Medicaid Innovation in October 2013. The BPCI initiative tests four Models for linking provider payments for a clinical episode of care to determine whether bundled payments can reduce Medicare payments while maintaining or improving quality of care. This fourth annual report uses payment, utilization, and quality outcomes to describe the experience of BPCI Models 2 and 3 during the first three years of the initiative, from Q4 2013 through Q3 2016.","Keywords":"Bundled Payments for Care Imprpovement Initiative Models 2-4 - Fourth Evaluation Report, BPCI Model 2: Retrospective Acute \u0026 Post Acute Care Episode, BPCI Model 2: Retrospective Acute \u0026 Post Acute Care Episode, BPCI Model 4: Prospective Acute Care Hospital Stay Only, Episode-based Payment Initiatives, Medicare","Type":"Reports","Related Content":"Bundled Payments for Care Improvement (BPCI) Initiative: General Information  | (https:\/\/innovation.cms.gov\/initiatives\/Bundled-Payments\/)","Related Content 2":"Appendices (PDF) (https:\/\/downloads.cms.gov\/files\/cmmi\/bpci-models2-4-yr4rptappendices.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"157"},{"Title":"Health Care Innovation Awards Round Two - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/hcia2-yr3evalrpt.pdf","Month of Publication":"June","Year of publication":"2018","Abstract":"The Health Care Innovation Awards Round 2 (HCIA R2) third annual report covers the awardees implementation experiences during the third program year (September 2016 to August 2017) and provides preliminary impact findings for three of the awardees. The report concluded that 23 of the 38 programs were implemented effectively overall and had no problems with enrolling participants, delivering the models as designed. The other 15 awardees were partly effective in implementing their programs. Interim impact analyses are presented for three awardees: the University of California at San Francisco, the University of Illinois at Chicago, and New York City Health + Hospitals. None of the three interventions had a statistically significant effect on expenditures, hospital admissions, or readmissions. This does not imply that the programs had no effect, but rather that the study cannot rule out the possibility that the difference between treatment and comparison groups is due to chance alone.","Keywords":"Health Care Innovation Awards Round Two - Third Annual Report, Health Care Innovation Awards Round Two, Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models, HCIA, Health Care Innovation Awards Round Two","Type":"Reports","Related Content":"Health Care Innovation Awards Round Two (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/Round-2.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"158"},{"Title":"State Innovation Models Initiative: Model Test Awards Round Two Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/sim-round2test-secondannrpt.pdf","Month of Publication":"June","Year of publication":"2018","Abstract":"The Second Annual Report for the State Innovation Models (SIM) Round Two Model Test States qualitatively examines implementation efforts (through April, 2017) for the eleven Test States: Colorado, Connecticut, Delaware, Iowa, Idaho, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington.","Keywords":"State Innovation Models Initiative: Model Test Awards Round Two Second Annual Report, State Innovation Models Initiative (SIM), State Innovation Models Initiative: Model Test Awards Round Two","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Test Awards Round Two (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Testing-Round-Two\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"159"},{"Title":"Medicare Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (HBO) - Interim Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/interimevalrpt-mpa-hbo.pdf","Month of Publication":"July","Year of publication":"2018","Abstract":"The Interim Evaluation Report of the Medicare Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (HBO) evaluates prior authorization as a means of reducing utilization of unnecessary HBO services while maintaining\/improving quality of care and reducing the high improper claim rate for these services. Part B hyperbaric oxygen providers were required to have either submitted a prior authorization request for HBO services or else the claims for the services rendered would have received prepayment review. The findings indicate that prior authorization decreased HBO service use and expenditures; however, the decrease in total Medicare expenditures observed is not statistically significant. At the same time, there were no effects on quality of care and mixed effects on adverse outcomes.","Keywords":"Medicare Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (HBO) - Interim Evaluation Report, Medicare, Medicare Part B, Hyperbaric Oxygen (HBO)","Type":"Reports","Related Content":"Appendices (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/interimevalrpt-mpa-hbo-appendices.pdf)","Related Content 2":"Medicare Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (HBO)  | (https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/Prior-Authorization-Initiatives\/Prior-Authorization-of-Non-emergent-Hyperbaric-Oxygen.html)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"160"},{"Title":"Home Health Value-Based Purchasing Model  -  First Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/hhvbp-first-annual-rpt.pdf","Month of Publication":"August","Year of publication":"2018","Abstract":"This report evaluates the Home Health Value-Based Purchasing (HHVBP) model in its first year, CY2017. HHVBP establishes financial incentives for higher quality care and greater efficiency through adjustments to Medicare payments for home health services. Findings show significant improvement in the HHA Total Performance Scores and OASIS-based process and outcome measures, no effect on patient experience measures, and mixed results for Medicare spending and utilization.","Keywords":"Home Health Value-Based Purchasing Model  -  First Annual Report, Home Health Value-Based Purchasing, HHVBP, home health","Type":"Reports","Related Content":"Supplemental Tables and Results Appendix (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/hhvbp-firstannrpt-app-supptablesresults.pdf)","Related Content 2":"Quantitative Technical Appendix (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/hhvbp-firstannrpt-app-quan.pdf)","Related Content 3":"Qualitative Technical Appendix (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/hhvbp-firstannrpt-app-qual.pdf)","Related Content 4":"Home Health Value-Based Purchasing Model  | (https:\/\/innovation.cms.gov\/initiatives\/home-health-value-based-purchasing-model)","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"161"},{"Title":"Next Generation ACO Model - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/nextgenaco-firstannrpt.pdf","Month of Publication":"August","Year of publication":"2018","Abstract":"The First Annual Evaluation report of the Next Generation Accountable Care Organization (NGACO) Model presents results of the impact of the eighteen NGACOs that participated in the model during 2016. The first year of the NGACO model was associated with reductions in spending without declines in quality. NGACO beneficiaries were associated with a $210 per beneficiary per year (PBPY) decline in spending, or in aggregate, a $100 million gross reduction in spending. After accounting for shared savings payouts and losses the net reduction in spending totaled $62.12 million. Quality of care under the model did not appear to change in terms of readmissions following hospital or skilled nursing facility admissions and ambulatory care sensitive admissions.","Keywords":"Next Generation ACO Model - First Evaluation Report, Next Generation ACO Model, accountable care organization, accountable care, shared savings","Type":"Reports","Related Content":"Next Generation ACO Model (https:\/\/innovation.cms.gov\/initiatives\/Next-Generation-ACO-Model\/)","Related Content 2":"Findings-At-A-Glance (PDF)  | (https:\/\/edit.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/nextgenaco-fg-firstannrpt)","Related Content 3":"Technical Appendices (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/nextgenaco-firstannrpt-techapp.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance Report (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/nextgenaco-fg-firstannrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"162"},{"Title":"Accountable Care Organization Investment Model (AIM) - First Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/aim-firstannrpt.pdf","Month of Publication":"August","Year of publication":"2018","Abstract":"This first AIM evaluation report provides findings from AIM ACOs first performance year, participation patterns, and the extent of recoupment of AIM payments.  The ACO Investment Model (AIM) is an initiative that made up-front payments to organizations participating as ACOs in the Medicare Shared Savings Program to invest in infrastructure and staffing and then recouped from earned shared savings.  Its goals were to support existing, small ACOs in transitioning to two-sided financial risk and to establish new ACOs in rural areas.  A first cohort of 4 AIM ACOs started in April 2015; a second cohort of 43 AIM ACOs started in January 2016.","Keywords":"Accountable Care Organization Investment Model (AIM) - First Annual Report, ACO Investment Model, accountable care organization, accountable care, AIM","Type":"Reports","Related Content":"ACO Investment Model (https:\/\/innovation.cms.gov\/initiatives\/ACO-Investment-Model\/)","Related Content 2":"Findings At-A-Glance Report  | (https:\/\/innovation.cms.gov\/Files\/reports\/aim-fg-firstannrpt.pdf)","Related Content 3":"Appendices (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/aim-firstannrpt-app.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance Report (https:\/\/innovation.cms.gov\/Files\/reports\/aim-fg-firstannrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"163"},{"Title":"Comprehensive Care for Joint Replacement Model - First Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/cjr-firstannrpt.pdf","Month of Publication":"August","Year of publication":"2018","Abstract":"The Comprehensive Care for Joint Replacement (CJR) model tests whether an episode based payment approach for lower extremity joint replacement (LEJR) can incentivize hospitals to reduce costs while maintaining or improving quality. Findings from the first performance year evaluation of the CJR model are promising and indicate that a mandatory episode based payment approach for LEJR episodes can achieve per episode payment reductions while maintaining quality for both planned LEJR episodes and those due to fracture. Reductions in payments were achieved in both high and low cost areas, indicating that there are opportunities to reduce episode costs even in relatively efficient markets.","Keywords":"Comprehensive Care for Joint Replacement Model - First Annual Report, CJR, joint replacement, Medicare, episode based payments, lower extremity joint replacement (LEJR), Metropolitan Statistical Areas (MSAs)","Type":"Reports","Related Content":"Comprehensive Care for Joint Replacement Model (https:\/\/innovation.cms.gov\/initiatives\/cjr)","Related Content 2":"Findings At-A-Glance Report  | (https:\/\/innovation.cms.gov\/Files\/reports\/cjr-fg-firstannrpt.pdf)","Related Content 3":"Appendices (updated 10\/19\/18) (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/cjr-firstannrptapp.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance Report (https:\/\/innovation.cms.gov\/Files\/reports\/cjr-fg-firstannrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"164"},{"Title":"Medicare Care Choices Model - First Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/mccm-firstannrpt.pdf","Month of Publication":"September","Year of publication":"2018","Abstract":"Findings to date suggest that the model is achieving its objective to increase access to supportive care services provided by hospice. MCCM hospice staff, referring providers, and enrolled beneficiaries and their caregivers generally expressed high levels of satisfaction with the model, and hospice staff reported that MCCM has helped hospice-eligible individuals become more familiar and comfortable with the hospice benefit. More than four out of five MCCM enrollees (83%) elected the Medicare hospice benefit after an average of two months in MCCM and one month prior to death.","Keywords":"Medicare Care Choices Model - First Annual Report, Medicare Care Choices Model, MCCM, hospice, support care services, Medicare","Type":"Reports","Related Content":"Medicare Care Choices Model (https:\/\/innovation.cms.gov\/initiatives\/Medicare-Care-Choices\/)","Related Content 2":"Findings At-A-Glance Report  | (https:\/\/innovation.cms.gov\/Files\/reports\/mccm-fg-firstannrpt.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance Report (https:\/\/innovation.cms.gov\/Files\/reports\/mccm-fg-firstannrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"165"},{"Title":"Bundled Payments for Care Improvement Initiative Models 2-4 - Fifth Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/bpci-models2-4-yr5evalrpt.pdf","Month of Publication":"October","Year of publication":"2018","Abstract":"Under the Bundled Payments for Care Improvement (BPCI) initiative, the independent evaluation found that BPCI Models 2 and 3 reduced Medicare fee - for - service payments for the majority of clinical episodes evaluated while maintaining the quality of care for Medicare beneficiaries. These results confirm the promise of episode - based payment models. Despite these encouraging results, Medicare experienced net losses under BPCI after taking into account reconciliation payments to participants. Technical implementation issues, including the specification of appropriate target prices, contributed to these net losses. We are optimistic that Medicare will achieve net savings under a new episode - based Advanced Alternative Payment Model, BPCI Advanced, because it addresses the challenges BPCI experienced.","Keywords":"Bundled Payments for Care Improvement Initiative Models 2-4 - Fifth Evaluation Report, Bundled Payments for Care Improvement Initiative, BPCI, Medicare, BPCI Model 2: Retrospective Acute \u0026 Post Acute Care Episode, BPCI Model 3: Retrospective Post Acute Care Only, BPCI Model 4: Prospective Acute Care Hospital Stay Only, Episode-Based Payment Initiatives","Type":"Reports","Related Content":"Bundled Payments for Care Improvement (BPCI) Initiative: General Information (https:\/\/innovation.cms.gov\/initiatives\/Bundled-Payments\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/bpci2-4-fg-evalyrs1-3.pdf)","Related Content 3":"Appendices (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/bpci-models2-4-yr5evalrpt-app.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/bpci2-4-fg-evalyrs1-3.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"166"},{"Title":"Rural Community Hospital Demonstration - Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/rch-rtc.pdf","Month of Publication":"October","Year of publication":"2018","Abstract":"The Rural Community Hospital Demonstration (RCHD) is a Congressionally mandated demonstration that provides the potential for enhanced Medicare inpatient payments for participating small rural hospitals.  This required Report to Congress addresses three questions. 1) What are the characteristics of hospitals that participated in the RCHD? 2) What was the effect of the demonstrations payment method on hospital finances and other outcomes? 3) What changes were RCHD participant hospitals expecting to make in anticipation of the demonstrations end?","Keywords":"Rural Community Hospital Demonstration, Report to Congress, RTC, Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models, rural, hospital, Medicare, hospital finances","Type":"Reports","Related Content":"Rural Community Hospital Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Rural-Community-Hospital\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"167"},{"Title":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Final Evaluation Report: Volume 1 (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/strongstart-prenatal-finalevalrpt-v1.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"Strong Start funded psychosocial approaches to reducing incidence of preterm birth and low birthweight among infants born to women enrolled in Medicaid or CHIP.  From 2013-2017, participants received services in one of three approaches to care: maternity care homes, group prenatal care, or birth centers. Volume I shows that women who received prenatal care in Strong Start Birth Centers had better birth outcomes and lower costs relative to similar Medicaid beneficiaries not enrolled in Strong Start. In particular, rates of preterm birth, low birthweight, and cesarean section were lower among Birth Center participants, and costs were more than $2,000 lower per mother-infant pair during birth and the following year. Volume 2 includes qualitative and quantitative findings for each individual awardee.","Keywords":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Final Evaluation Report: Volume 1, Strong Start for Mothers and Newborns Initiative, Medicaid, Children\u0027s Health Insurance Plan (CHIP)","Type":"Reports","Related Content":"Strong Start for Mothers and Newborns Initiative: Enhanced Prenatal Care Models (https:\/\/innovation.cms.gov\/initiatives\/Strong-Start-Strategy-2\/index.html)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/strongstart-prenatal-fg-finalevalrpt.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/strongstart-prenatal-fg-finalevalrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"168"},{"Title":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Final Evaluation Report: Volume 2 (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/strongstart-prenatal-finalevalrpt-v2.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"Strong Start funded psychosocial approaches to reducing incidence of preterm birth and low birthweight among infants born to women enrolled in Medicaid or CHIP.  From 2013-2017, participants received services in one of three approaches to care: maternity care homes, group prenatal care, or birth centers. Volume I shows that women who received prenatal care in Strong Start Birth Centers had better birth outcomes and lower costs relative to similar Medicaid beneficiaries not enrolled in Strong Start. In particular, rates of preterm birth, low birthweight, and cesarean section were lower among Birth Center participants, and costs were more than $2,000 lower per mother-infant pair during birth and the following year. Volume 2 includes qualitative and quantitative findings for each individual awardee.","Keywords":"Strong Start for Mothers and Newborns Initiative - Enhanced Prenatal Care Final Evaluation Report: Volume 2, Strong Start for Mothers and Newborns Initiative, Medicaid, Children\u0027s Health Insurance Plan (CHIP)","Type":"Reports","Related Content":"Strong Start for Mothers and Newborns Initiative: Enhanced Prenatal Care Models (https:\/\/innovation.cms.gov\/initiatives\/Strong-Start-Strategy-2\/index.html)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/strongstart-prenatal-fg-finalevalrpt.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/strongstart-prenatal-fg-finalevalrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"169"},{"Title":"State-Based Initiatives Systematic Review of Lessons Learned (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/statebasedinitiatives-lessonslearned.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"This report provides a systematic review of implementation lessons learned regarding 12 CMMI models that had a prominent Medicaid component, or those for which the state had a notable but minor role. Already-public CMMI model evaluation reports were qualitatively analyzed for this report.","Keywords":"State-Based Initiatives Systematic Review of Lessons Learned, Medicaid, state, Comprehensive Primary Care Initiative, FQHC Advanced Primary Care Practice Demonstration, Health Care Innovation Awards (HCIA), Independence at Home Demonstration, Multi-Payer Advanced Primary Care Practice Demonstration, State Innovation Models Initiative","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/state-basedinitiatives-fg-lessonslearned.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"170"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Health Homes MFFS Demonstration - Final Year 2 and Preliminary Year 3 Savings Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-wa-finalyr2preyr3.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"As part of the Washington Health Home Managed Fee-for-service Demonstration under the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the independent evaluation produced an actuarial analysis of Medicare savings for Demonstration Years 2 and 3. The findings show gross Medicare savings of $30,171,755 Demonstration Year 2 and $41,960,258 for Demonstration Year 3.  Demonstration Year 3 savings are considered preliminary as the evaluation contractor will update missing claims due to runout and will refresh eligibility data. To date, the demonstration is estimated to have saved $107,023,682 or a savings of 9% of total Medicare expenditures, over the first three years. Medicaid data is not available at this time, but will be included in future reports.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Health Homes MFFS Demonstration - Final Year 2 and Preliminary Year 3 Savings Report, Financial Alignment Initiative (FAI), Medicare, Fee For Service (FFS), Medicaid, Washington, WA","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"171"},{"Title":"Independence at Home Demonstration - Report To Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/iah-rtc.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"The Independence at Home (IAH) Demonstration was mandated by section 1866E of the Social Security Act (added by section 3024 of the Affordable Care Act).  The demonstration tests a payment incentive and service delivery model that utilizes physician and nurse practitioner directed home-based primary care teams designed to reduce expenditures and improve health outcomes for eligible Medicare beneficiaries.  This report responds to the laws requirement for an independent evaluation of the demonstration and report to Congress that includes an analysis of the demonstration program on coordination of care, expenditures, applicable beneficiary access to services, and the quality of health care services provided to applicable beneficiaries, and presents interim findings based on the three years of the demonstration ending September 2015.","Keywords":"Independence at Home Demonstration, Primary Care Transformation, primary care, home-based primary care, Medicare","Type":"Reports","Related Content":"Independence at Home Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Independence-at-Home\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"172"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees California Cal MediConnect - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-ca-firstevalrpt.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"As part of the California Cal MediConnect capitated model demonstration under the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the independent evaluation provides an assessment of the demonstration from its initiation on April 1, 2014 through December 2016, as well as key information and updates through 2017. Overall, the CA intervention has not yet demonstrated an effect on Medicare expenditures.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees California Cal MediConnect - First Evaluation Report, California, CA, Medicare, Medicaid","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"173"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Illinois Medicare-Medicaid Alignment Initiative - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-il-firstevalrpt.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"As part of the Illinois Medicare-Medicaid Alignment Initiative (MMAI) capitated model demonstration under the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the independent evaluation showed a statistically significant reduction in Medicare expenditures of $28.89 PMPM during the first demonstration period covered by the report.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Illinois Medicare-Medicaid Alignment Initiative - First Evaluation Report, Illinois, IL, Medicare, Medicaid, capitation","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"174"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees MyCare Ohio - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-oh-firstevalrpt.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"As part of the MyCare Ohio capitated model demonstration under the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the independent evaluation finds the OH demonstration produced statistically significant reductions in Medicare expenditures of $65.36 PMPM in the first year. Besides expenditures, OH experienced statistically significant drops across a number of utilization measures, with improvement in quality measures.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees MyCare Ohio - First Evaluation Report, OHIO, OH, Medicare, Medicaid","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"175"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-mn-secondevalrpt.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"As part of the Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience demonstration under the evaluation of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the independent evaluation provides an assessment of the first and second performance period of the Minnesota demonstration, from September 13, 2013 through December 2015, as well as updated qualitative information through June 30, 2017. Service utilization results for MN indicate that the demonstration has not produced unintended negative consequences for beneficiaries.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience - Second Evaluation Report, Minnesota, MN, Medicare, Medicaid","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"176"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Health Homes MFFS Demonstration - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-wa-secondevalrpt.pdf","Month of Publication":"November","Year of publication":"2018","Abstract":"As part of the Washington Health Home Managed Fee-for-service Demonstration under the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the independent evaluation finds the WA MFFS Demonstration reduced Medicare A\/B spending by $219.55 Per-Member-Per-Month (PMPM), statistically significant at the 0.05 level, while reducing inpatient, SNF, and nursing home use. Overall Medicare expenditures were reduced $105.2 million over the first two demonstration periods.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Health Homes MFFS Demonstration - Second Evaluation Report, Washington, WA, Medicare, Medicaid, Fee-For-Service (FFS)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"177"},{"Title":"Demonstration Project on Community Health Integration Models in Certain Rural Counties - Interim Report to Congress (PDF)","Author":"","URL":"https:\/\/www.hrsa.gov\/sites\/default\/files\/hrsa\/ruralhealth\/reports\/FCHIP-Interim-Report-September-2018.pdf","Month of Publication":"September","Year of publication":"2018","Abstract":"Since August 1, 2016, ten Critical Access Hospitals (CAHs) in Montana, Nevada, and North Dakota have participated in the Frontier Community Health Integration Project Demonstration (FCHIP) to test how changes in Medicare payment for ambulance, skilled nursing, and telehealth services affect health outcomes in sparsely populated frontier communities. HRSA and CMS released a joint report to Congress detailing the CAHs progress and experiences in the first year of the demonstration.   The report finds little change for ambulance or skilled nursing services while telehealth services encountered credentialing, licensing, scheduling, and other common administrative challenges. FCHIP will conclude on July 31, 2019, unless extended by Congress.  FORHP and CMS must submit a final report to Congress by July 31, 2020.","Keywords":"Demonstration Project on Community Health Integration Models in Certain Rural Counties - Interim Report to Congress, RTC, Frontier Community Health Integration Project Demonstration, FCHIP Demonstration, Critical Access Hospitals (CAHs), Medicare, Health Resources \u0026 Services Administration (HRSA)","Type":"Reports","Related Content":"Frontier Community Health Integration Project Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Frontier-Community-Health-Integration-Project-Demonstration\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"178"},{"Title":"Oncology Care Model - Second Annual Evaluation Report: Performance Period One (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/ocm-secondannualeval-pp1.pdf","Month of Publication":"December","Year of publication":"2018","Abstract":"This report examines the impact of the Oncology Care Model (OCM) on episodes in the first six-month performance period. While results show promise, overall findings do not yet show meaningful utilization or cost impacts. Practices report developing care plans, coordinating care, improving survivorship planning, and improving end of life care, among other efforts to transform their practices and deliver more patient-centered care for OCM patients. Given that current results only include one performance period of results, it would be premature to draw conclusions about the impact that the model will eventually have on costs and quality.","Keywords":"Oncology Care Model - Second Annual Evaluation Report: Performance Period One, Oncology Care Model (OCM), cancer","Type":"Reports","Related Content":"Oncology Care Model (https:\/\/innovation.cms.gov\/initiatives\/Oncology-Care\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/ocm-secondannualeval-pp1-fg.pdf)","Related Content 3":"Appendix (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/ocm-secondannualeval-pp1-appendix.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/ocm-secondannualeval-pp1-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"179"},{"Title":"Next Generation ACO Model - 2017 Performance Year 2 Financial and Quality Results (XLS)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/worksheets\/nextgenaco-py2finqualresults.xlsx","Month of Publication":"December","Year of publication":"2018","Abstract":"These results represent the 2017 performance year 2 financial and quality results for participants in the Next Generation ACO Model.","Keywords":"Next Generation ACO Model - 2017 Performance Year 2 Financial and Quality Results, Next Generation ACO Model, financial results, quality results","Type":"Data","Related Content":"Next Generation ACO Model (https:\/\/innovation.cms.gov\/initiatives\/Next-Generation-ACO-Model\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"180"},{"Title":"Medicare Advantage Value-Based Insurance Design Model  -  Year One Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/vbid-yr1-evalrpt.pdf","Month of Publication":"January","Year of publication":"2019","Abstract":"The first year Medicare Advantage (MA) Value-Based Insurance Design (VBID) model evaluation report provides a description of the VBID model benefit designs and targeted conditions as well as early implementation experiences. In the first model year (2017), nine out of 23 eligible Parent Organizations (POs) within 3 of 7 eligible states chose to participate in the model, targeting COPD, CHF, diabetes, and hypertension.  96,503 beneficiaries with specified target conditions were eligible for the VBID model; across all participating POs, 61 percent of eligible beneficiaries actually received VBID benefits.","Keywords":"Medicare Advantage Value-Based Insurance Design Model, MA VBID, Parent Organizations (POs), states, COPD, CHF, diabetes, and hypertension, Medicare","Type":"Reports","Related Content":"Medicare Advantage Value-Based Insurance Design Model (https:\/\/innovation.cms.gov\/initiatives\/vbid\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/vbid-yr1-evalrpt-fg.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/vbid-yr1-evalrpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"181"},{"Title":"Million Hearts: Cardiovascular Disease Risk Reduction Model - First Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/mhcvdrrm-firstann-evalrpt.pdf","Month of Publication":"March","Year of publication":"2019","Abstract":"The First Annual Million Hearts Cardiovascular Disease (CVD) Risk Reduction Model examines the implementation of the model and participants baseline characteristics, during the model\u0027s first year. Randomization was successful in producing intervention and control groups that were similar at baseline on CVD risk factors and demographics indicating that a rigorous (unbiased) assessment of the model\u0027s impact is feasible. Interviews with participants suggest that the model is largely being implemented as intended, including increased risk calculation and stratification of eligible beneficiaries and improved treatment of CVD risk factors. While some of the CVD risk among the target population is due to nonmodifiable factors (such as age and diabetes), there is still substantial room for improvement.","Keywords":"Million Hearts: Cardiovascular Disease Risk Reduction Model, Million Hearts, cardiovascular health, CVD, cardiovascular disease","Type":"Reports","Related Content":"Million Hearts: Cardiovascular Disease Risk Reduction Model (https:\/\/innovation.cms.gov\/initiatives\/Million-Hearts-CVDRRM\/)","Related Content 2":"Findings At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/mhcvdrrm-firstannevalrpt-fg.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/mhcvdrrm-firstannevalrpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"182"},{"Title":"State Innovation Models Initiative: Model Test Awards Round Two Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/sim-rd2-test-ar3.pdf","Month of Publication":"March","Year of publication":"2019","Abstract":"The Third Annual Report for the State Innovation Models (SIM) Round Two Model Test States qualitatively examines implementation efforts (through March, 2018) for the eleven Test States: Colorado, Connecticut, Delaware, Iowa, Idaho, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington.","Keywords":"State Innovation Models Initiative: Model Test Awards Round Two Third Annual Report, State Innovation Models Initiative: Model Test Awards Round Two, SIM, Colorado, Connecticut, Delaware, Iowa, Idaho, Michigan, New York, Ohio, Rhode Island, Tennessee, Washington","Type":"Reports","Related Content":"State Innovation Models Initiative: Model Test Awards Round Two (https:\/\/innovation.cms.gov\/initiatives\/State-Innovations-Model-Testing-Round-Two\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/sim-rd2-test-ar3-fg.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/sim-rd2-test-ar3-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"183"},{"Title":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/rahnfr-phasetwo-secondannrpt.pdf","Month of Publication":"March","Year of publication":"2019","Abstract":"The Initiative to Reduce Avoidable Hospitalization among Nursing Facility Residents (NFI) Payment Reform was designed to reduce avoidable hospitalization among long-stay nursing facility residents by introducing a new payment model that reimburses nursing facilities and practitioners for providing higher-level care on site for six qualifying conditions.  The second annual report provides findings through the first Initiative year (October 1, 2016 through September 30, 2017).  The report found that Payment-Only facilities, which had not been in the prior NFI 1 phase of the Initiative, showed promising reductions in utilization and expenditures. The Clinical + Payment facilities, which participated in NFI 1 and continued into NFI 2, did not experience reductions in utilization and expenditures in Initiative Year 1 beyond what they had previously achieved and beyond what was expected based on trends established during NFI 1.","Keywords":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - Second Annual Report, hospitalization, avoidable hospitalization, Medicare","Type":"Reports","Related Content":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two (https:\/\/innovation.cms.gov\/initiatives\/rahnfr-phase-two\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/rahnfr-phasetwo-secondannrpt-fg.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/rahnfr-phasetwo-secondannrpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"184"},{"Title":"Comprehensive Primary Care (CPC+) Plus - First Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/cmmi\/cpcplus-first-ann-rpt.pdf","Month of Publication":"April","Year of publication":"2019","Abstract":"The First Annual Report from the Independent Evaluation of Comprehensive Primary Care Plus (CPC+) examines how CPC+ was implemented and provides Year 1 estimates of its impact on key outcome measures for Medicare FFS beneficiaries. The report found that during the first performance year, practices in the CPC+ model began to transform the way they provide care. However, as expected at this point in the model, the report found that practices did not generate gross savings, meaningfully reduce service use, or meaningfully improve care quality across a limited set of measures. Effects on these outcomes may emerge with more time as CPC+ practices deepen care delivery changes.","Keywords":"Comprehensive Primary Care (CPC+) Plus - First Annual Report, Comprehensive Primary Care Plus, primary care, Medicare, Fee-For-Service (FFS), care delivery, multi-payer, advanced primary care","Type":"Reports","Related Content":"Comprehensive Primary Care Plus (https:\/\/innovation.cms.gov\/initiatives\/comprehensive-primary-care-plus\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/cpcplus-fg-firstannrpt.pdf)","Related Content 3":"Appendices (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/cpcplus-first-ann-rpt-supp-rpt-app.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/cpcplus-fg-firstannrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"185"},{"Title":"Independence at Home Demonstration - Year Four Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/iah-yr4evalrpt.pdf","Month of Publication":"May","Year of publication":"2019","Abstract":"The Independence at Home (IAH) Demonstration was launched in 2012 through Section 3024 of the Patient Protection and Affordable Care Act.  Under the demonstration, physician- and nurse-led teams provide primary care services in the homes of beneficiaries with chronic illness and functional limitations. IAH practices receive a payment incentive if they generate savings above an established threshold and meet quality-of-care targets. This evaluation report examines the first four years of the IAH demonstration and includes findings on the effects of receiving home-based versus office-based primary care. It is a follow up to the Report to Congress released in November 2018, which evaluated the demonstrations first three years.","Keywords":"Independence at Home Demonstration - Year Four Evaluation Report, IAH, primary care, chronic illness, home-based primary care, Medicare","Type":"Reports","Related Content":"Independence at Home Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Independence-at-Home\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/iah-fg-yr4eval.pdf)","Related Content 3":"Appendices (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/iah-yr4evalrpt-app.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/iah-fg-yr4eval.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"186"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Massachusetts One Care - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-ma-secondevalrpt.pdf","Month of Publication":"May","Year of publication":"2019","Abstract":"As part of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the independent evaluation of the Massachusetts One Care capitated model demonstration provides an assessment of the demonstration from its initiation on October 1, 2013 through December 2015, as well as key information and updates through 2017. Overall, the Massachusetts intervention had not yet showed any effect on overall Medicare expenditures.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Massachusetts One Care - Second Evaluation Report, Massachusetts One Care, Financial Alignment Initiative for Medicare-Medicaid Enrollees","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"187"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Massachusetts One Care - Third Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-ma-thirdevalrpt.pdf","Month of Publication":"May","Year of publication":"2019","Abstract":"As part of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the independent evaluation of Massachusetts One Care capitated model demonstration provides an assessment of the demonstration from its initiation on October 1, 2013 through December 2016, as well as key information and updates through 2018. Overall, the Massachusetts intervention had not yet showed any effect on overall Medicare expenditures.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Massachusetts One Care - Third Evaluation Report, Massachusetts One Care, Financial Alignment Initiative for Medicare-Medicaid Enrollees","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"188"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Preliminary Savings Report for Colorado Managed Fee-for-Service (MFFS) Demonstration - Period 2 (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-co-prelimyr2savings.pdf","Month of Publication":"May","Year of publication":"2019","Abstract":"As part of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the actuaries working under the independent evaluation of the Colorado Accountable Care Collaborative: Medicare-Medicaid Program (ACC:MMP) demonstration provides an actuarial assessment of the demonstration from its initiation on September 1, 2014 through December 2016. For Demonstration Period 1, the final total additional Medicare cost was $10,553,714, or $37.36 Per-Member-Per-Month (PMPM). In Demonstration Period 2, the preliminary total additional Medicare cost was $11,112,497, or $41.92 PMPM.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Preliminary Savings Report for Colorado Managed Fee-for-Service (MFFS) Demonstration - Period 2, Colorado, Colorado Managed Fee-for-Service (MFFS) Demonstration, Fee-For-Service (FFS)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"189"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Texas Dual Eligible Integrated Care Demonstration Project - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-tx-firstevalrpt.pdf","Month of Publication":"May","Year of publication":"2019","Abstract":"As part of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative, the independent evaluation of the Texas Dual Eligible Integrated Care Demonstration Project capitated model demonstration shows a statistically significant reduction in Medicare expenditures of $78.90 Per-Member-Per-Month (PMPM) during the first demonstration period (March 1, 2015  -  December 31, 2016).","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Texas Dual Eligible Integrated Care Demonstration Project - First Evaluation Report, Texas, Texas Dual Eligible Integrated Care Demonstration Project, Medicare, Per-Member-Per-Month (PMPM)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"190"},{"Title":"Medicare Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (HBO) - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/mpa-hbo-fnlevalrpt.pdf","Month of Publication":"June","Year of publication":"2019","Abstract":"The Final Evaluation Report for the Medicare Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (HBO) evaluates prior authorization as a means of reducing utilization of unnecessary HBO services while maintaining\/improving quality of care and reducing the high improper claim rate for these services. Part B hyperbaric oxygen providers were required to have either submitted a prior authorization request for HBO services or else the claims for the services rendered would have received prepayment review. The findings indicate that prior authorization decreased HBO service use and expenditures; however, there was no significant effect on total Medicare expenditures. Additionally, the effects of the model on quality of care and adverse outcomes were neutral.","Keywords":"Medicare Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (HBO) - Final Evaluation Report, Medicare Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (HBO), prior authorization, Medicare, Part B","Type":"Reports","Related Content":"Medicare Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (HBO) (https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/Prior-Authorization-Initiatives\/Prior-Authorization-of-Non-emergent-Hyperbaric-Oxygen.html)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/mpa-hbo-fnlevalrpt-fg.pdf)","Related Content 3":"Appendices (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/mpa-hbo-fnlevalrpt-app.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/mpa-hbo-fnlevalrpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"191"},{"Title":"Comprehensive Care for Joint Replacement Model - Second Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/cjr-secondannrpt.pdf","Month of Publication":"June","Year of publication":"2019","Abstract":"In its first two performance years, the CJR model continues to demonstrate promising reductions in Medicare payments, while maintaining quality of care. A range of hospitals, with a range of resources and circumstances, was able to respond effectively to the incentives of this mandatory payment approach for hip and knee surgery episodes.","Keywords":"Comprehensive Care for Joint Replacement Model - Second Annual Report, Comprehensive Care for Joint Replacement Model, Medicare, CJR, joint replacement","Type":"Reports","Related Content":"Comprehensive Care for Joint Replacement Model (https:\/\/innovation.cms.gov\/initiatives\/cjr)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/cjr-fg-secondannrpt.pdf)","Related Content 3":"Appendices (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/cjr-secondannrpt-app.pdf)","Related Content 4":"An In-Depth Look: Hospital Case Studies (PDF)  | (https:\/\/downloads.cms.gov\/files\/cmmi\/cjr-secondannrpt-case-study-supp.pdf)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/cjr-fg-secondannrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"192"},{"Title":"Graduate Nurse Education Demonstration - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/gne-final-eval-rpt.pdf","Month of Publication":"August","Year of publication":"2019","Abstract":"This Final Report provides an update to the evaluation findings of the impact of the mandated Graduate Nurse Education (GNE) demonstration project. Overall, the six-year demonstration had a positive impact on APRN student growth, resulting in a 54 and 67 percent increase in APRN student enrollment and graduation, respectively. In addition, the average cost for CMS to support and pay for the clinical education only, for each additional APRN student was $47,172. More importantly, the GNE demonstration allowed schools of nursing (SONs) to enhance clinical placement processes, and to strengthen relationships with clinical education sites, hospitals, and other SONs. Finally, the GNE demonstration increased awareness of the role and value of APRN students among physician and physician assistant preceptors.","Keywords":"Graduate Nurse Education Demonstration - Final Evaluation Report, Graduate Nurse Education Demonstration, GNE, nurse, advanced practice registered nurse (APRN), nursing","Type":"Reports","Related Content":"Graduate Nurse Education Demonstration (https:\/\/innovation.cms.gov\/initiatives\/GNE\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/gne-final-eval-rpt-fg.pdf)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/gne-final-eval-rpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"193"},{"Title":"Comprehensive ESRD Care Model - Performance Year 2 Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/cec-annrpt-py2.pdf","Month of Publication":"September","Year of publication":"2019","Abstract":"Through the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model, CMS is partnering with dialysis facilities and nephrologists that form specialty-based accountable care organizations. During the first two performance years, the CEC Model reduced spending and hospitalizations while improving on key quality measures for Medicare beneficiaries with ESRD. However, when shared savings payments to ESRD seamless care organizations are considered, the CEC Model experienced a loss of $46 million.","Keywords":"Comprehensive ESRD Care Model  -  Performance Year 2 Annual Report (PDF), Comprehensive ESRD Care Model, ESRD","Type":"Reports","Related Content":"Comprehensive ESRD Care Model (https:\/\/innovation.cms.gov\/initiatives\/comprehensive-ESRD-care\/)","Related Content 2":"","Related Content 3":"Appendices (PDF) | (https:\/\/innovation.cms.gov\/Files\/reports\/cec-annrpt-py2-app.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/cec-annrpt-py2-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"194"},{"Title":"ACO Investment Model - Second Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/aim-second-annrpt.pdf","Month of Publication":"September","Year of publication":"2019","Abstract":"The second ACO Investment Model (AIM) evaluation report examines the first two years of AIM ACO spending, utilization, and quality performance. AIM is an initiative that made up-front payments to organizations participating as ACOs in the Medicare Shared Savings Program to invest in infrastructure and staffing and then recouped from earned shared savings. A first cohort of 4 AIM ACOs started in April 2015; a second cohort of 43 AIM ACOs started in January 2016. The AIM model formally concluded at the end of 2018.","Keywords":"ACO Investment Model - Second Annual Report, accountable care organization, aco, Medicare Shared Savings Program (MSSP)","Type":"Reports","Related Content":"ACO Investment Model (https:\/\/innovation.cms.gov\/initiatives\/ACO-Investment-Model\/)","Related Content 2":"Findings-At-A-Glance Report (PDF)  | (https:\/\/innovation.cms.gov\/Files\/reports\/aim-second-annrpt-fg.pdf)","Related Content 3":"Appendices (PDF) | (https:\/\/innovation.cms.gov\/Files\/reports\/aim-second-annrpt-app.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/aim-second-annrpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"195"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Health Homes MFFS Demonstration - Final Year 3 and Preliminary Year 4 Savings Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-wa-finalyr3preyr4.pdf","Month of Publication":"September","Year of publication":"2019","Abstract":"As part of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative (FAI), the actuaries working under the independent evaluation of the Washington Managed Fee-for-service (MFFS) Demonstration provided an actuarial assessment of the demonstration for Demonstration Year 3 (January 1, 2016-December 31, 2016) and Demonstration Year 4 (January 1, 2017  -  December 31, 2017). For Demonstration Year 3, the final total gross reduction in Medicare Parts A and B expenditures was $46.6 million. In Demonstration Year 4, the preliminary total gross reduction in Medicare expenditures was $55.2 million. Thus far, the Washington MFFS Demonstration shows a total of $166.8 million reduction in Medicare expenditures through Demonstration Year 4.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Washington, Medicare, Medicaid, WA, savings report","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"196"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Health Homes MFFS Demonstration - Third Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-wa-thirdevalrpt.pdf","Month of Publication":"September","Year of publication":"2019","Abstract":"As part of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative (FAI), the independent evaluation of the third year of the Washington Health Home Managed Fee-for-service Demonstration finds the WA MFFS Demonstration statistically significantly reduced Medicare Part A and Part B spending by $202.5 Per-Member-Per-Month (an 11% reduction), while reducing inpatient, skilled nursing facility (SNF), and nursing home use. Overall Medicare expenditures were reduced $149.6 million over the first three demonstration years.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Washington, Medicare, Medicaid, WA, Washington Health Homes, evaluation report","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"197"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Fully Integrated Duals Advantage (FIDA) Program - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-ny-firstevalrpt.pdf","Month of Publication":"September","Year of publication":"2019","Abstract":"As part of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative (FAI), the independent evaluation of the first year of the New York Fully Integrated Duals Advantage (FIDA) Program showed that passive enrollment caused beneficiary disruption, thus approximately 62% opted out. Mid-course changes were timely in correcting problems, but were too late to improve enrollment. The demonstration had approximately a 3% enrollment rate for all eligible beneficiaries in the first year. Inability to replicate the demonstrations eligibility criteria prevented the creation of a comparison group, therefore the report only includes qualitative findings. Stakeholders viewed the unified appeals process created by the demonstration as a success. The demonstration is scheduled to end at the close of 2019.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, New York, NY, Medicare, Medicaid, New York Fully Integrated Duals Advantage (FIDA) Program, evaluation report","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"198"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees South Carolina Healthy Connections Prime - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-sc-firstevalrpt.pdf","Month of Publication":"September","Year of publication":"2019","Abstract":"As part of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative (FAI), the first-year independent evaluation of the South Carolina Healthy Connections Prime capitated model demonstration found neither gross reductions nor increases in Medicare Part A and Part B expenditures, and significant reductions in inpatient admissions, emergency room visits, skilled nursing facility admissions, and overall and chronic ambulatory care sensitive condition admissions. The probability of any new long-stay nursing facility use increased.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, South Carolina, SC, Medicare, Medicaid, South Carolina Healthy Connections Prime, evaluation report","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"199"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Michigan Health Link - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/fai-mi-firstevalrpt.pdf","Month of Publication":"September","Year of publication":"2019","Abstract":"As part of the Centers for Medicare \u0026 Medicaid Services (CMS) Medicare-Medicaid Financial Alignment Initiative (FAI), the independent evaluation of the first year of the MI Health Link demonstration showed significant reductions in service utilization and no demonstrated effects on Medicare Part A and Part B expenditures. The demonstration showed a reduction in inpatient admissions, emergency room visits, and overall and chronic ambulatory care sensitive condition admissions. The probability of any new long-stay nursing facility use moderately increased.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Michigan, MI, Medicare, Medicaid, Michigan Health Link, evaluation report","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"200"},{"Title":"Part D Enhanced Medication Therapy Management (MTM) Model - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/mtm-firstevalrpt.pdf","Month of Publication":"October","Year of publication":"2019","Abstract":"This first evaluation report describes the Enhanced MTM Model including characteristics of the participating Part D sponsors and the beneficiaries eligible for services.  It presents qualitative findings of the early perspectives of participating sponsors and vendors, their workforce, and the beneficiaries enrolled in participating plans.  Preliminary descriptive quantitative results for medication use, utilization, and expenditure outcomes are presented. The report covers the first 20 months of the Model (January 2017 through August 2018).","Keywords":"Part D Enhanced Medication Therapy Management (MTM) Model - First Evaluation Report, Part D Enhanced Medication Therapy Management (MTM) Model, MTM, Part D, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |   (https:\/\/innovation.cms.gov\/Files\/reports\/mtm-firstevalrpt-fg.pdf)","Related Content 2":"Part D Enhanced Medication Therapy Management Model  |   (https:\/\/innovation.cms.gov\/initiatives\/enhancedmtm\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/mtm-firstevalrpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"201"},{"Title":"Medicaid Emergency Psychiatric Demonstration - Cure Act Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/mepd-curesact-rtc.pdf","Month of Publication":"November","Year of publication":"2019","Abstract":"Analyses required by the Cures Act confirm that the Medicaid Emergency Psychiatric Services Demonstration (MEPD) was not associated with reductions in Medicaid and Medicare costs or emergency room use. New analyses found that (a) forensic hospitals are rare in MEPD States and (b) forensic patients occupy a substantial portion of beds in non-forensic hospitals. Lengths of stays, payment rates, and expenditures per stay were not consistently greater for general hospital psychiatric units than for IMDs. Only a small share of all IMDs and IMD beds participated in MEPD.","Keywords":"Medicaid Emergency Psychiatric Demonstration, Initiatives Focused on the Medicaid and CHIP Population, Medicare, Report to Congress (RTC), emergency room, hospitals, Cures Act","Type":"Reports","Related Content":"Appendices (PDF)  |   (https:\/\/innovation.cms.gov\/Files\/reports\/mepd-curesact-rtc-app.pdf)","Related Content 2":"","Related Content 3":"Medicaid Emergency Psychiatric Demonstration  |   (https:\/\/innovation.cms.gov\/initiatives\/Medicaid-Emergency-Psychiatric-Demo\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"202"},{"Title":"Maryland All-Payer Model - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/md-allpayer-finalevalrpt.pdf","Month of Publication":"November","Year of publication":"2019","Abstract":"By implementing hospital global budgets, the Maryland All-Payer Model reduced total expenditures for Medicare beneficiaries and reduced hospital expenditures for both Medicare beneficiaries and commercial plan members, mostly by reducing hospital outpatient expenditures. The model also reduced hospital admissions and potentially avoidable hospitalizations but had no impact on ED visits or unplanned readmissions for Medicare beneficiaries.","Keywords":"Maryland All-Payer Model - Final Evaluation Report, Maryland All-Payer Model, Medicare, hospital global budgets, avoidable hospitalizations, ED, Emergency Department, admissions","Type":"Reports","Related Content":"Maryland All-Payer Model  | (https:\/\/innovation.cms.gov\/initiatives\/Maryland-All-Payer-Model\/)","Related Content 2":"Appendices (PDF)  | (https:\/\/downloads.cms.gov\/files\/md-allpayer-finalevalrpt-app.pdf)","Related Content 3":"At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/md-allpayer-finalevalrpt-fg.pdf)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"At-A-Glance Report (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/md-allpayer-finalevalrpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"203"},{"Title":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - Third Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/rahnfr-phasetwo-thirdannrpt.pdf","Month of Publication":"December","Year of publication":"2019","Abstract":"The Initiative to Reduce Avoidable Hospitalization among Nursing Facility Residents Payment Reform was designed to reduce avoidable hospitalization among long-stay nursing facility residents by introducing a new payment model that reimburses nursing facilities and practitioners for providing higher-level care on site for six qualifying conditions. The third annual report provides findings through the second Initiative year (October 1, 2017 through September 30, 2018). The Clinical + Payment facilities that participated in NFI 1 and continued into NFI 2, did not experience aggregate reductions in utilization and expenditures beyond what they had previously achieved in NFI 1. Within Payment-only facilities combined, utilization results were not statistically significant but were mainly declines, and most expenditure outcomes demonstrated an increase though again they were not statistically significant.","Keywords":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - Third Annual Report, Nursing Facility Residents (NFR), Medicare, hospitalization","Type":"Reports","Related Content":"Findings At-A-Glance (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/files\/rahnfr-phasetwo-thirdannrpt-fg.pdf)","Related Content 2":"Appendices (PDF) |  (https:\/\/downloads.cms.gov\/files\/rahnfr-phasetwo-thirdannrptapp.pdf)","Related Content 3":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two (https:\/\/innovation.cms.gov\/initiatives\/rahnfr-phase-two\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/files\/rahnfr-phasetwo-thirdannrpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"204"},{"Title":"Home Health Value-Based Purchasing Model - Second Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/hhvbp-secann-rpt.pdf","Month of Publication":"December","Year of publication":"2019","Abstract":"CMS designed the Home Health Value-Based Purchasing (HHVBP) Model to test the impact of providing financial incentives to home health agencies (HHAs) for improvements in quality of care across nine states. This Second Annual Evaluation Report presents findings from the first two years of the HHVBP Model (CYs 2016-2017), prior to when payment adjustments take effect. Results from the evaluation show modest improvements in OASIS quality of care measures and reduction in Medicare expenditures.","Keywords":"Home Health Value-Based Purchasing Model. HHVBP, Home Health Value-Based Purchasing Model - Second Annual Report, Medicare, home health agencies (HHAs)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/Files\/reports\/hhvbp-secann-rpt-fg.pdf)","Related Content 2":"Technical Appendices (PDF)  (https:\/\/innovation.cms.gov\/Files\/reports\/hhvbp-secann-rpt-app.pdf)","Related Content 3":"Home Health Value-Based Purchasing Model (https:\/\/innovation.cms.gov\/initiatives\/home-health-value-based-purchasing-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/hhvbp-secann-rpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"205"},{"Title":"Next Generation ACO Model - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/nextgenaco-secondevalrpt.pdf","Month of Publication":"January","Year of publication":"2020","Abstract":"This report examines the first two performance years (2016-2017) of the Next Generation ACO model.  It presents spending, utilization and quality impact results cumulatively across the two years, within the 2017 performance year, and broken out by whether the ACOs joined the model in 2016 or 2017.","Keywords":"Next Generation ACO Model - Second Evaluation Report, Accountable Care Organization, accountable care, shared savings","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/Files\/reports\/nextgenaco-fg-secondevalrpt.pdf)","Related Content 2":"Appendices (PDF)  |   (https:\/\/innovation.cms.gov\/Files\/reports\/nextgenaco-secondevalrpt-app.pdf)","Related Content 3":"Next Generation ACO Model (https:\/\/innovation.cms.gov\/initiatives\/Next-Generation-ACO-Model\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/nextgenaco-fg-secondevalrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"206"},{"Title":"White Paper - Episode Payment Models Evaluation Synthesis (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/files\/reports\/episode-payment-models-wp.pdf","Month of Publication":"January","Year of publication":"2020","Abstract":"CMS conducted an analysis of nine available evaluation reports that look at results for seven episode payment models to identify common themes, determine lessons learned, and highlight best practices. Of the episode payment model results reviewed, some have shown reductions in utilization and episode costs without compromising quality.  However, despite decreased utilization and lower expenditures in some of these episode payment models, to date, model evaluations typically observe no net savings to Medicare, due to how target prices, discounts, and risk-sharing arrangements have been set.","Keywords":"White Paper - Episode Payment Models Evaluation Synthesis, white paper, bundled payments, episode payment models, Comprehensive Care for Joint Replacement (CJR) Model, Oncology Care Model, OCM, Bundled Payments for Care Improvement Models 1-4","Type":"Reports","Related Content":"Comprehensive Care for Joint Replacement Model  |  (https:\/\/innovation.cms.gov\/initiatives\/cjr)","Related Content 2":"Oncology Care Model  |  (https:\/\/innovation.cms.gov\/initiatives\/Oncology-Care\/)","Related Content 3":"Bundled Payments for Care Improvement (BPCI) Initiative: General Information (https:\/\/innovation.cms.gov\/initiatives\/Bundled-Payments\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"207"},{"Title":"Million Hearts: Cardiovascular Disease Risk Reduction Model - Second Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/media\/millionheartscdrrm-secondannualevaluationreport_1_13_20.pdf","Month of Publication":"January","Year of publication":"2020","Abstract":"The Second Annual Report for the independent evaluation of the Million Hearts Cardiovascular Disease (CVD) Risk Reduction Model describes how the model was implemented during its first 2.5 years and presents early estimates of its impact on heart attacks, strokes, survival, and spending. The Million Hearts Model has led providers to more systematically apply the current standard of CVD care, including modest increases in the use of statins and anti-hypertensive medications. These changes have not yet had an impact on the rate of first time heart attack or stroke, or in Medicare spending. However, the model appears to have reduced the risk of all-cause mortality. As this is a prevention model where most of the benefits are realized years after the intervention, net savings were not expected within the first few years of the model. The notable improvements in CVD care processes and beneficiary risk scores are promising and may lead to impacts of the model over a longer time period.","Keywords":"Million Hearts: Cardiovascular Disease Risk Reduction Model - Second Annual Evaluation Report, Million Hearts: Cardiovascular Disease Risk Reduction Model, cardiovascular disease (CVD), heart attacks, strokes, prevention, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |   (https:\/\/innovation.cms.gov\/files\/reports\/mhcvdrrm-secannevalrpt-fg.pdf)","Related Content 2":"Million Hearts: Cardiovascular Disease Risk Reduction Model (https:\/\/innovation.cms.gov\/initiatives\/Million-Hearts-CVDRRM\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  (https:\/\/innovation.cms.gov\/files\/reports\/mhcvdrrm-secannevalrpt-fg.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"208"},{"Title":"Medicare Care Choices Model - Second Annual Report (PDF)","Author":"","URL":"https:\/\/downloads.cms.gov\/files\/mccm-secannrpt.pdf","Month of Publication":"February","Year of publication":"2020","Abstract":"The Medicare Care Choices Model (MCCM) offers eligible beneficiaries the option to receive supportive services from participating hospices while continuing to receive treatment for their terminal condition through fee-for-service Medicare. Findings to date indicate that MCCM offered a bridge to the Medicare hospice benefit for over 4 out of 5 MCCM enrollees, as well as counseling, symptom management, and supportive care to beneficiaries who might not otherwise have access to these services. Enrolled beneficiaries and caregivers reported a high degree of satisfaction with MCCM. Future reports will provide results on the impact of the model on Medicare expenditures, utilization, and quality of care.","Keywords":"Medicare Care Choices Model - Second Annual Report, Medicare Care Choices Model (MCCM), Medicare, hospice, fee-for-service (FFS), supportive care","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/files\/reports\/mccm-fg-secannrpt.pdf)","Related Content 2":"Technical Appendices (PDF)   |   (https:\/\/downloads.cms.gov\/files\/mccm-secannrpt-app.pdf)","Related Content 3":"Medicare Care Choices Model (https:\/\/innovation.cms.gov\/initiatives\/Medicare-Care-Choices\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/files\/reports\/mccm-fg-secannrpt.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"209"},{"Title":"Independence at Home Demonstration - Year Five Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/Files\/reports\/iah-yr5evalrpt.pdf","Month of Publication":"March","Year of publication":"2020","Abstract":"The Independence at Home (IAH) Demonstration was launched in 2012 through Section 3024 of the Patient Protection and Affordable Care Act. Under the demonstration, physician- and nurse-led teams provide primary care services in the homes of beneficiaries with chronic illness and functional limitations. IAH practices receive a payment incentive if they generate savings above an established threshold and meet quality-of-care targets. This evaluation report covers the first five years of the demonstration and examines the IAH incentive payments effects on spending, utilization, and quality.","Keywords":"Independence at Home Demonstration, Independence at Home Demonstration - Year Five Evaluation Report, IAH, primary care, chronic illness, home-based primary care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/Files\/reports\/iah-fg-yr5eval.pdf)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/Files\/reports\/iah-yr5evalrpt-app.pdf)","Related Content 3":"Independence at Home Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Independence-at-Home\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/Files\/reports\/iah-fg-yr5eval.pdf)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"210"},{"Title":"Bundled Payments for Care Improvement Initiative Models 2-4 - Sixth Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/bpci-models2-4-yr6evalrpt","Month of Publication":"June","Year of publication":"2020","Abstract":"This is the sixth evaluation report for the Bundled Payments for Care Improvement (BPCI) Initiative covering the first four years of the model through September 2017. Consistent with previous reports, despite reducing Medicare FFS payments, the BPCI Initiative resulted in net costs to Medicare after taking into account reconciliation payments to participants. Technical implementation issues, including the specification of appropriate target prices, have contributed to these net losses. The report also includes a new analysis comparing performance of acute care hospitals and physician group practices under the model. There will be a final evaluation report for the BPCI Initiative covering the full performance period from October 2013 through September 2018.","Keywords":"Bundled Payments for Care Improvement Initiative Models 2-4 - Sixth Evaluation Report, Bundled Payments for Care Improvement Initiative, BPCI, bundled payments, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/bpci-models2-4-fg-yr6)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/bpci-models2-4-yr6evalrpt-app)","Related Content 3":"Bundled Payments for Care Improvement (BPCI) Initiative: General Information (https:\/\/innovation.cms.gov\/innovation-models\/bundled-payments)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/bpci-models2-4-fg-yr6)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"211"},{"Title":"BPCI Advanced - First Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/bpciadvanced-firstannevalrpt","Month of Publication":"June","Year of publication":"2020","Abstract":"This is the first annual evaluation report for the Bundled Payments for Care Improvement (BPCI) Advanced Model which is an Advanced Alternative Payment Model, testing whether linking Medicare provider payments for an episode of care can reduce Medicare expenditures while improving quality of care. Begun in October 2018 and extending through December 2023, BPCI Advanced builds on Model 2 of the BPCI Initiative, one of CMMIs previous bundled payment models that ended on September 30, 2018.  From BPCI Advanceds beginning on October 1, 2018 through March 31, 2019, this report describes the models participants and episode initiators; their participation decisions, including their choices of clinical episodes; and the models reach. Future reports will incorporate estimates of the impact of the model on payments, utilization and quality of care, and Medicare program savings, in addition to beneficiary-reported outcomes on functional status and satisfaction.","Keywords":"BPCI Advanced - First Annual Evaluation Report, Bundled Payments for Care Improvement, BPCI, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/bpciadvanced-firstannevalrpt-fg)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/bpciadvanced-firstannevalrpt-app)","Related Content 3":"BPCI Advanced (https:\/\/innovation.cms.gov\/innovation-models\/bpci-advanced)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/bpciadvanced-firstannevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"212"},{"Title":"Comprehensive Primary Care (CPC+) Plus - Second Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cpc-evaluation-annual-report-2","Month of Publication":"July","Year of publication":"2020","Abstract":"This Second Annual Evaluation Report details the implementation experience and impact on Medicare fee-for-service (FFS) beneficiary outcomes over the first two years of the model. Drawing on the substantial supports received from CMS, payer partners, and health IT vendors, CPC+ practices made meaningful changes to care delivery during the first two years of the model. Still, practices have more work to do in the remaining three years to further improve the quality of care they provide. There were a few, very small impacts of CPC+ on Medicare FFS beneficiaries during the first two years; but, it is too early to draw conclusions about the likely longer-term effects of CPC+.","Keywords":"Comprehensive Primary Care (CPC+) Plus - Second Annual Report, CPC+, Comprehensive Primary Care Plus, primary care, Medicare, Fee-For-Service (FFS), care delivery, multi-payer","Type":"Reports","Related Content":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cpc-evaluation-annual-report-2-appendices)","Related Content 2":"Supplemental Volume (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cpc-evaluation-annual-report-2-supplemental-volume)","Related Content 3":"","Related Content 4":"Comprehensive Primary Care Plus (https:\/\/innovation.cms.gov\/innovation-models\/comprehensive-primary-care-plus)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cpc-evaluation-findings-annual-report-2)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"213"},{"Title":"Oncology Care Model (OCM) - Second Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/ocm-evaluation-annual-report-2","Month of Publication":"July","Year of publication":"2020","Abstract":"This report examines the impact of the Oncology Care Model (OCM) on episodes in the first three performance periods (PPs).  During PP1-3, there was a non-significant overall decline of $145\/episode.  Episode payments for high-risk cancers declined by $430\/episode (1.1%), but increases in episode payments for low-risk cancers of $130\/episode (1.8%) offset these impacts, leading to the non-significant overall estimate.  When model payments from the first two PPs were included (MEOS and PBP), OCM resulted in net losses of $154.3M for Medicare. Many OCM practices report focusing on patient education and outreach and same-day care to avoid ED visits and hospitalizations, but there was no OCM impact on ED visits or hospitalizations overall, or for chemotherapy-related toxicity.  We will continue to assess the impact of these strategies on utilization and cost as OCM practices implementation efforts mature over time.","Keywords":"Oncology Care Model (OCM), oncology, Chemotherapy, cancer, Medicare, Fee-For-Service (FFS), care delivery, comercial payers, care coordination","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/ocm-annual-report-2-findings-glance)","Related Content 2":"Appendices (PDF) |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/ocm-evaluation-annual-report-2-appendices)","Related Content 3":"","Related Content 4":"Oncology Care Model (https:\/\/innovation.cms.gov\/innovation-models\/oncology-care)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/ocm-annual-report-2-findings-glance)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cms-perspective-ocm)","Perspective Report":"TRUE","ID":"214"},{"Title":"ACO Investment Model - Final Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/aim-final-annrpt","Month of Publication":"September","Year of publication":"2020","Abstract":"The third and final AIM evaluation report examines the first three years of AIM ACO spending, utilization, and quality performance. The ACO Investment Model (AIM) is an initiative that made up-front payments to organizations participating as ACOs in the Medicare Shared Savings Program to invest in infrastructure and staffing and then recouped from earned shared savings. A first cohort of 4 AIM ACOs started in April 2015; a second cohort of 43 AIM ACOs started in January 2016. The AIM model formally concluded at the end of 2018.","Keywords":"ACO Investment Model, ACO Investment Model - Final Evaluation Report, AIM, accountable care organization, Medicare Shared Savings Program (MSSP)","Type":"Reports","Related Content":"ACO Investment Model  |  (https:\/\/innovation.cms.gov\/innovation-models\/aco-investment-model)","Related Content 2":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/aim-fg-finalannrpt)","Related Content 3":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/aim-final-annrpt-app)","Related Content 4":"Perspective Report (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/aim-finalannrpt-perspective)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/aim-fg-finalannrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/aim-finalannrpt-perspective)","Perspective Report":"TRUE","ID":"215"},{"Title":"Health Care Innovation Awards Round Two - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/hcia2-round-2-final-eval-report-sept-2020-0","Month of Publication":"September","Year of publication":"2020","Abstract":"In this final analysis of the 38 HCIA 2 awardee\u0027s programs, 19 programs had rigorous impact evaluations and 19 had descriptive evaluations. Of the 19 programs with rigorous evaluations, four programs had statistically significant results in utilization and\/or expenditures, whereas the others had results that were ambiguous or inconsistent. The four programs with statistically significant favorable impacts shared several program characteristics distinct from the other programs: they targeted a socially fragmented population, required patients\u0027 consent, had prior experience implementing the intervention, and were patient-focused rather than provider-focused. Most of the awardees proposed payment models in some forms, and twelve of those payment models have been, at least partially, implemented. Eleven of the 38 awardees sustained their programs largely intact post award, and another 18 of the programs were partly sustained.","Keywords":"Health Care Innovation Awards Round Two - Final Evaluation Report, Health Care Innovation Awards Round Two, Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models, HCIA, Health Care Innovation Awards Round Two","Type":"Reports","Related Content":"Health Care Innovation Awards Round Two  |  (https:\/\/innovation.cms.gov\/initiatives\/Health-Care-Innovation-Awards\/Round-2.html)","Related Content 2":"Findings At-A-Glance  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/hcia2-fg-finalevalrpt)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/hcia2-fg-finalevalrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"216"},{"Title":"Medicare Advantage Value-Based Insurance Design Model - First Three Years (2017-2019) Evaluation Report (PDF)","Author":"","URL":"http:\/\/innovation.cms.gov\/data-and-reports\/2020\/vbid-yr1-3-evalrpt","Month of Publication":"September","Year of publication":"2020","Abstract":"The Evaluation of the first three years (2017-2019) of the Medicare Advantage (MA) Value-Based Insurance Design (VBID) model evaluation report presents findings for the 11 Parent Organizations (POs) within six states who chose to participate in the model during the period under evaluation (2017-2019). However, due to variation in the completeness associated with MA data sources, this report covers most outcomes for the first two model years (2017 and 2018) with utilization and most health outcomes only for 2017. The VBID Model appears to be moving utilization outcomes mostly in the anticipated direction.  For example, many high-value services targeted by VBID plans, such as primary care provider (PCP) visits, specialist visits for targeted conditions, and 30-day drug refills are increasing as intended. Care coordination also improved, but no changes were detected among health outcomes, which usually take a longer time to materialize. VBID is not yet generating savings to Medicare, and it is also not costing Medicare additional money, as expected. There were no changes in MA program costs to CMS (i.e., actual payments made by CMS to plans for benefits provided to MA and Part D enrollees after accounting for final risk scores and rebates); nor in plans  own realized spending (i.e., actual spending by plans on medical and drug benefits for enrollees).","Keywords":"Medicare Advantage Value-Based Insurance Design Model - First Three Years (2017-2019) Evaluation Report, Medicare Advantage Value-Based Insurance Design Model, Medicare Advantage (MA), vbid, value-based insurance design, Part D","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/vbid-yr1-3-fg-evalrpt)","Related Content 2":"Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/vbid-yr1-3-evalrpt-perspective)","Related Content 3":"Medicare Advantage Value-Based Insurance Design Model (https:\/\/innovation.cms.gov\/innovation-models\/vbid)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/vbid-yr1-3-fg-evalrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/vbid-yr1-3-evalrpt-perspective)","Perspective Report":"TRUE","ID":"217"},{"Title":"Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT) - Second Interim Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/rsnat-secondintevalrpt","Month of Publication":"September","Year of publication":"2020","Abstract":"The Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT) was successful in reducing RSNAT and total Medicare spending. The model reduced RSNAT service expenditures by 72% (approximately $550 million over four years) for the population examined: beneficiaries with end stage renal disease and\/or severe pressure ulcers. This decrease in RSNAT service expenditures, in turn, caused total Medicare fee for service expenditures to decrease by 2.0% (about $650 million over four years). Overall, the model had no impact on quality measures or adverse events.","Keywords":"Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT), Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT) Second Interim Evaluation Report, Medicare, ambulance, fee for service (FFS), end-stage renal disease (ESRD), transport","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/rsnat-secondintevalrpt-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/rsnat-secondintevalrpt-app)","Related Content 3":"","Related Content 4":"Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport Model (https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/Prior-Authorization-Initiatives\/Prior-Authorization-of-Repetitive-Scheduled-Non-Emergent-Ambulance-Transport-)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/rsnat-secondintevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"218"},{"Title":"Next Generation Accountable Care Organization Model Third Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/nextgenaco-thirdevalrpt-fullreport","Month of Publication":"September","Year of publication":"2020","Abstract":"The Third Report of the Next Generation ACO Model (NGACO) Evaluation presents results across the first three years (2016-2018) of the NGACO Model. The NGACO Model tests whether greater financial risk, alternative payment mechanisms and benefit enhancements designed to provide more flexibility in care, reduces Medicare expenditures and improves the quality of care for Medicare beneficiaries. ACOs in the model joined in one of three ACO cohorts that joined in 2016, 2017, or 2018. The model is scheduled to end in December of 2021.","Keywords":"Next Generation Accountable Care Organization (ACO) Model, Medicare Shared Savings Program (MSSP), Next Generation ACO Model, accountable care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/nextgenaco-thirdevalrpt-ataglance)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/nextgenaco-thirdevalrpt-appendices)","Related Content 3":"Perspective Report  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/nextgenaco-thirdevalrpt-perspective)","Related Content 4":"Next Generaton ACO Model (https:\/\/innovation.cms.gov\/innovation-models\/next-generation-aco-model)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/nextgenaco-thirdevalrpt-ataglance)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/nextgenaco-thirdevalrpt-perspective)","Perspective Report":"TRUE","ID":"219"},{"Title":"Home Health Value-Based Purchasing Model - Third Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/hhvbp-thirdann-rpt","Month of Publication":"October","Year of publication":"2020","Abstract":"Evaluation results from the first three years show improvements in OASIS quality of care measures and reduction in Medicare expenditures. The HHVBP Model tests if financial incentives to home health agencies drive improvements in quality of care across nine states.","Keywords":"Home Health Value-Based Purchasing Model - Third Annual Report, Home Health Value-Based Purchasing Model, HHVBP, Medicare, hospice","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/hhvbp-thirdann-rpt-fg)","Related Content 2":"Technical Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/hhvbp-thirdann-rpt-app)","Related Content 3":"Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/hhvbp-thirdann-rpt-perspective)","Related Content 4":"Home Health Value-Based Purchasing Model (https:\/\/innovation.cms.gov\/innovation-models\/home-health-value-based-purchasing-model)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/hhvbp-thirdann-rpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/hhvbp-thirdann-rpt-perspective)","Perspective Report":"TRUE","ID":"220"},{"Title":"Medicare Care Choices Model - Third Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mccm-thirdannrpt","Month of Publication":"October","Year of publication":"2020","Abstract":"Preliminary impact results indicate that total Medicare expenditures decreased by 25%, generating $26 million in gross savings and $21.5 million in net savings during the first three years of the model, largely driven by reducing inpatient care through increased use of the Medicare hospice benefit. Most caregivers reported positive experiences in the model, yet caregivers of MCCM enrollees who did not transition to hospice reported less satisfaction.","Keywords":"Medicare Care Choices Model - Third Annual Report, Medicare Care Choices Model, MCCM, Medicare, Medicaid, hospice, dually eligible beneficiaries","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mccm-fg-thirdannrpt)","Related Content 2":"Technical Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mccm-thirdannrpt-app)","Related Content 3":"Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mccm-thirdannrpt-perspective)","Related Content 4":"Medicare Care Choices Model (https:\/\/innovation.cms.gov\/innovation-models\/medicare-care-choices)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mccm-fg-thirdannrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mccm-thirdannrpt-perspective)","Perspective Report":"TRUE","ID":"221"},{"Title":"Part D Enhanced Medication Therapy Management Model - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mtm-secondevalrpt","Month of Publication":"November","Year of publication":"2020","Abstract":"The Enhanced MTM Model tests if the impact of giving sponsors flexibilities and incentives to target enrolled beneficiaries and tailor MTM interventions improves therapeutic outcomes and reduces Medicare expenditures. In the first two years of the Model (2017-2018), sponsors expanded the proportion of enrolled beneficiaries who are not only eligible for MTM services but actually received services. In doing so, the Model did not result in statistically significant costs or savings to CMS. These spending impacts first looked at the Medicare Parts A and B expenditures of all enrolled beneficiaries and then accounted for CMS\u0027s prospective payments and performance based payment incentives. Neither spending impacts were statistically significant across the Model, over the first two years of model implementation. Subsequent reports will continue to assess if the Model meets its intended goal as it progresses toward completion in 2021.","Keywords":"Part D Enhanced Medication Therapy Management Model - Second Evaluation Report, Part D Enhanced Medication Therapy Management Model, Part D Enhanced MTM Model, medication therapy management, Medicare, Medicare Part A, Medicare Part B, therapeutics","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mtm-secondevalrpt-fg)","Related Content 2":"Appendix A (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mtm-secondevalrpt-app)","Related Content 3":"Appendix B (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mtm-secondevalrpt-app-b)","Related Content 4":"Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mtm-secondevalrpt-perspective)","Related Content 5":"Part D Enhanced Medication Therapy Management Model (https:\/\/innovation.cms.gov\/innovation-models\/enhancedmtm)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mtm-secondevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mtm-secondevalrpt-perspective)","Perspective Report":"TRUE","ID":"222"},{"Title":"Comprehensive ESRD Care Model - Performance Year 3 Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cec-annrpt-py3","Month of Publication":"November","Year of publication":"2020","Abstract":"Through the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model, CMS is partnering with dialysis facilities and nephrologists that form specialty-based accountable care organizations. During the first three performance years, the CEC Model reduced spending and hospitalizations while improving on key quality measures for Medicare beneficiaries with ESRD. However, when shared savings payments to ESRD seamless care organizations are considered, the CEC Model experienced a loss of $57 million.","Keywords":"Comprehensive ESRD Care Model - Performance Year 3 Annual Report, Comprehensive ESRD Care (CEC) Model, end-stage renal disease, ESRD, dialysis, Medicare, accountable care organizations, ACOs, nephrologists","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cec-annrpt-py3-fg)","Related Content 2":"Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cec-annrpt-py3-perspective)","Related Content 3":"","Related Content 4":"","Related Content 5":"Comprehensive ESRD Care Model (https:\/\/innovation.cms.gov\/innovation-models\/comprehensive-esrd-care)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cec-annrpt-py3-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cec-annrpt-py3-perspective)","Perspective Report":"TRUE","ID":"223"},{"Title":"Comprehensive Care for Joint Replacement Model - Third Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cjr-thirdannrpt","Month of Publication":"November","Year of publication":"2020","Abstract":"The Comprehensive Care for Joint Replacement (CJR) model\u0027s third-year evaluation reports that the model continues to demonstrate that a mandatory model for episode-based bundled payments is a promising approach to reduce payments and maintain quality for LEJR episodes. Even with the model\u0027s more concentrated focus, the variation in hospital characteristics and circumstances ensures a broad test of the episode-based payment approach.","Keywords":"Comprehensive Care for Joint Replacement Model - Third Annual Report, Comprehensive Care for Joint Replacement Model, CJR Model, joint replacement, mandatory model, bundled payments, episode-based payments, LEJR, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cec-annrpt-py3-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cjr-thirdannrpt-app)","Related Content 3":"Provider Experience Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cjr-thirdannrpt-provider-experiences)","Related Content 4":"Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cjr-thirdannrpt-perspective)","Related Content 5":"Comprehensive Care for Joint Replacement Model (https:\/\/innovation.cms.gov\/innovation-models\/cjr)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cjr-fg-thirdannrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/cjr-thirdannrpt-perspective)","Perspective Report":"TRUE","ID":"224"},{"Title":"Million Hearts: Cardiovascular Disease Risk Reduction Model - Third Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mhcdrrm-thirdannevalrpt","Month of Publication":"November","Year of publication":"2020","Abstract":"The Million Hearts third annual evaluation report describes how the Million Hearts Model was implemented during its first three years, and includes estimates of the models impact on heart attacks, strokes, survival, and spending. Overall, the Model has improved cardiovascular preventive care, but has not yet reduce observed heart attacks and strokes or lower Medicare spending. Providers in the Million Hearts Model were much more likely than control group providers to report measuring, and being aware of, their patients\u0027 cardiovascular risk. Beneficiaries enrolled by the intervention group were also more likely than control group beneficiaries to initiate or intensify medications to lower blood pressure or cholesterol. High-risk beneficiaries in the intervention group had slightly larger average reductions (improvements) in CVD risk scores between enrollment and a year later than those in the control group. However, the model did not reduce the incidence of first-time heart attacks or strokes through October 2019, nor generate savings in Medicare spending.","Keywords":"Million Hearts: Cardiovascular Disease Risk Reduction Model - Third Annual Evaluation Report, Million Hearts: Cardiovascular Disease Risk Reduction Model, heart attacks, strokes, Medicare, cardiovascular, CVD, prevention","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mhcvdrrm-thirdannevalrpt-fg)","Related Content 2":"Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mhcvdrrm-thirdannevalrpt-perspective)","Related Content 3":"","Related Content 4":"","Related Content 5":"Million Hearts\u00c3\u2020: Cardiovascular Disease Risk Reduction Model (https:\/\/innovation.cms.gov\/innovation-models\/million-hearts-cvdrrm)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mhcvdrrm-thirdannevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/mhcvdrrm-thirdannevalrpt-perspective)","Perspective Report":"TRUE","ID":"225"},{"Title":"Medicaid Innovation Accelerator Program - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/miap-finalevalrpt","Month of Publication":"December","Year of publication":"2020","Abstract":"The Medicaid Innovation Accelerator Program was successful in helping Medicaid agencies plan, design and implement Medicaid-focused delivery system reforms. Despite state-level challenges such as limited staff and resources, state teams gained actionable knowledge and skills through their participation and have used them to build lasting relationships across states and state agencies as they pursue state delivery system reforms.","Keywords":"Medicaid Innovation Accelerator Program, Medicaid, states, technical support, Medicaid IAP, cross-state learning, physicial health integration, mental health integration","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/miap-finalevalrpt-fg)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"Medicaid Innovation Accelerator Program (https:\/\/innovation.cms.gov\/innovation-models\/miap)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/miap-finalevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"226"},{"Title":"Frontier Community Health Integration Project Demonstration - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/fchip-final-eval-rpt","Month of Publication":"December","Year of publication":"2020","Abstract":"This Congressionally mandated 3 year demonstration at 10 frontier Critical Access Hospitals (CAHs) increased payments for Part B ambulance transports, increased telehealth origination fees, and allowed up to a 10 bed increase to provide additional SNF\/NF care. Of the three CAHs that increased their beds, only one needed and used the additional capacity. Patient satisfaction with telehealth was very high. While FCHIP telehealth encounters grew rapidly over the 3 year period, a similar growth pattern was also found for non-FCHIP CAHs in the same states, suggesting that telehealth would have proliferated without the demonstration.","Keywords":"Frontier Community Health Integration Project Demonstration - Final Evaluation Report, Frontier Community Health Integration Project Demonstration, FCHIP, Critical Access Hospitals (CAHs), Part B, telehealth, Medicare, rural","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/fchip-final-eval-rpt-fg)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"Frontier Community Health Integration Project Demonstration (https:\/\/innovation.cms.gov\/innovation-models\/frontier-community-health-integration-project-demonstration)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/fchip-final-eval-rpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"227"},{"Title":"Accountable Health Communities Model - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2020\/ahc-first-eval-rpt","Month of Publication":"December","Year of publication":"2020","Abstract":"The AHC model identifies and addresses certain health-related social needs of Medicare and Medicaid beneficiaries via screening, referral and community navigation services. Early results show a 9% reduction in emergency department visits among Medicare fee-for-service beneficiaries enrolled in the Assistance Track, but no Medicare savings or impacts on other utilization outcomes in the first year.","Keywords":"Accountable Health Communities Model - First Evaluation Report, Accountable Health Communities Model, AHC, Medicare, Medicaid, social needs, health-related social needs, bridge organizations","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/ahc-first-eval-rpt-fg)","Related Content 2":"Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/ahc-first-eval-rpt-perspective)","Related Content 3":"","Related Content 4":"","Related Content 5":"Accountable Health Communities Model (https:\/\/innovation.cms.gov\/innovation-models\/ahcm)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/ahc-first-eval-rpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2020\/ahc-first-eval-rpt-perspective)","Perspective Report":"TRUE","ID":"228"},{"Title":"Comprehensive Primary Care (CPC+) Plus - Third Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cpc-plus-third-anual-eval-report","Month of Publication":"January","Year of publication":"2021","Abstract":"The Comprehensive Primary Care Plus (CPC+) model, launched in 2017, seeks to transform care in nearly 3,000 practices across 18 U.S. regions. This Third Annual Evaluation Report details the implementation experience and impact on Medicare fee-for-service (FFS) beneficiary outcomes over the first three years of the model. Drawing on the substantial supports received from CMS, payer partners, and health IT vendors, CPC+ practices made meaningful changes to care delivery during the first three years of the model. Still, practices have more work to do in the remaining two years to further improve the quality of care they provide. There were a few, very small impacts of CPC+ on Medicare FFS beneficiaries during the first three years; but, it is too early to draw conclusions about the likely longer-term effects of CPC+.","Keywords":"Comprehensive Primary Care (CPC+) Plus - Third Annual Report, Comprehensive Primary Care (CPC+) Plus, CPC+, CPC Plus, primary care, Medicare fee-for-service (FFS)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cpc-plus-third-annual-report-findings)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cpc-plus-third-annual-report-app)","Related Content 3":"Comprehensive Primary Care Plus (https:\/\/innovation.cms.gov\/innovation-models\/comprehensive-primary-care-plus)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cpc-plus-third-annual-report-findings)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cpc-plus-third-annual-report-perspective)","Perspective Report":"TRUE","ID":"229"},{"Title":"Oncology Care Model - Evaluation Report: Performance Periods 1-5 (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-evaluation-pp1-5","Month of Publication":"January","Year of publication":"2021","Abstract":"The Oncology Care Model (OCM) is designed to achieve cost savings and improve cancer care. After five performance periods Medicare payments for higher-risk episodes declined relative to comparisons, but increased for lower-risk episodes, which resulted in small but significant relative reductions in Medicare payments. When model payments were included, OCM resulted in net losses for Medicare. Many OCM practices report focusing their energies on patient education and outreach, and same-day care, in an attempt to avoid ED visits and hospitalizations.","Keywords":"Oncology Care Model - Evaluation Report: Performance Periods 1-5, Oncology Care Model, OCM, cancer, Medicare, oncology","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-evaluation-pp1-5-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-evaluation-pp1-5-app)","Related Content 3":"Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-evaluation-pp1-5-perspective)","Related Content 4":"Oncology Care Model (https:\/\/innovation.cms.gov\/innovation-models\/oncology-care)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-evaluation-pp1-5-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-evaluation-pp1-5-perspective)","Perspective Report":"TRUE","ID":"230"},{"Title":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - Fourth Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/pah2-nfi2-ar4-main-report","Month of Publication":"March","Year of publication":"2021","Abstract":"The Initiative to Reduce Avoidable Hospitalization among Nursing Facility Residents\u00c3\u00b1 Payment Reform (NFI 2) was designed to reduce avoidable hospitalization among long-stay nursing facility residents by introducing a payment model that reimburses nursing facilities and practitioners for providing higher-level care on site for six qualifying conditions.  The fourth annual report provides findings through the third Initiative year (October 1, 2018 through September 30, 2019). Initiative Year 3 results indicate a general pattern of unfavorable increases in hospital related utilization and Medicare expenditures. This continues the pattern of annual increases observed over the last 2 years. Although there were a large number of in-facility treatment episodes for the six qualifying conditions, the evidence (based on billing trends for hospitalization and on site treatment) suggests that most of the residents treated on-site would not have been hospitalized even if there were no NFI 2.","Keywords":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - Fourth Annual Report, Nursing Facility Residents (NFR), Medicare, hospitalization","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/pah2-nfi2-ar4-aag-report)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/pah2-nfi2-ar4-appendices)","Related Content 3":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two (https:\/\/innovation.cms.gov\/initiatives\/rahnfr-phase-two\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings At-A-Glance (PDF) | (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/pah2-nfi2-ar4-aag-report)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"231"},{"Title":"Comprehensive ESRD Care Model - Performance Year 4 Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cec-annrpt-py4","Month of Publication":"March","Year of publication":"2021","Abstract":"Through the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model, CMS is partnering with dialysis facilities and nephrologists that form specialty-based accountable care organizations. During the first four performance years, the CEC Model reduced spending and hospitalizations while improving on key quality measures for Medicare beneficiaries with ESRD. However, when shared savings payments to ESRD seamless care organizations are considered, the CEC Model experienced a loss of $46 million.","Keywords":"Comprehensive ESRD Care Model - Performance Year 4 Annual Report, CEC Model, End-Stage Renal Disease (ESRD), dialysis, kidney","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cec-annrpt-py4-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cec-annrpt-py4#page=143)","Related Content 3":"","Related Content 4":"Comprehensive ESRD Care Model (https:\/\/innovation.cms.gov\/innovation-models\/comprehensive-esrd-care)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cec-annrpt-py4-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"232"},{"Title":"Medicare Diabetes Prevention Program (MDPP) First Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mdpp-firstannevalrpt","Month of Publication":"March","Year of publication":"2021","Abstract":"The Medicare Diabetes Prevention Program (MDPP) first annual evaluation report describes how the MDPP was implemented since the program began serving Medicare beneficiaries in April 2018.  The MDPP is an evidence-based structured behavior change intervention that aims to prevent the onset of type 2 diabetes among Medicare beneficiaries with prediabetes. The program is provided by organizations enrolled as MDPP suppliers, and provides practical training in long-term dietary change, increased physical activity, and behavior change strategies for weight control.  The longer-term goal of the MDPP is to prevent or delay progression to type 2 diabetes among beneficiaries with prediabetes, and to reduce Medicare costs. This first evaluation report includes findings on the program through December 2019, and provides information about supplier enrollment, Medicare beneficiary participation, MDPP beneficiary weight loss and baseline Medicare costs.","Keywords":"Medicare, Diabetes Prevention","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mdpp-firstannevalrpt-fg)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mdpp-firstannevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"233"},{"Title":"Bundled Payments for Care Improvement (BPCI) Initiative Models 2-4 Seventh (Final) Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/bpci-models2-4-yr7evalrpt","Month of Publication":"April","Year of publication":"2021","Abstract":"This is the final evaluation report on the Bundled Payments for Care Improvement (BPCI) Initiative Models 2-4. The BPCI initiative tested whether linking payments for a clinical episode of care could reduce Medicare expenditures while maintaining or improving quality of care. The evaluation found that BPCI Models 2 and 3 resulted in reduced Medicare fee-for-service payments. These episodic payment reductions were driven by declines in institutional post-acute care use and payments, while maintaining the quality of care for Medicare beneficiaries. Despite these encouraging results, Medicare continued to experience net losses under BPCI after taking into account reconciliation payments to Awardees, as in previous reports. Technical implementation issues, including the specification of appropriate benchmarks in setting target prices especially in a voluntary-participation model, have contributed to Medicare losses.","Keywords":"Bundled Payments for Care Improvement Initiative, BPCI, evaluation, Models 2-4, Final Evaluation Report","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/bpci-models2-4-yr7evalrpt-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/bpci-models2-4-yr7evalrpt-app)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/bpci-models2-4-yr7evalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"234"},{"Title":"BPCI Advanced Second Annual Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/bpci-yr2-annual-report","Month of Publication":"April","Year of publication":"2021","Abstract":"The Bundled Payments for Care Improvement (BPCI) Advanced model builds on BPCI Model 2 and tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Early evidence indicates that participating hospitals reduced Medicare fee-for-service payments for most of the clinical episodes evaluated. These episodic payment reductions were driven by declines in institutional post-acute care use and payments, while maintaining quality of care. However, Medicare experienced net losses under the model during its first ten months after accounting for reconciliation payments. This underscores the challenges of identifying appropriate benchmarks in setting target prices within a prospective payment framework. Voluntary model entry and exit further exacerbate these pricing challenges. In response to these findings, CMS made significant design changes for Model Year 4 (2021) to ensure the model\u00c3\u00ads financial sustainability. Future evaluation reports will analyze the impact of these design changes.","Keywords":"Bundled Payments for Care Improvement Advanced Initiative, BPCI-Advanced, evaluation, Second Annual Report","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/bpci-yr2-annual-report-findings-aag)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/bpci-yr2-annual-report-appendices)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/bpci-yr2-annual-report-findings-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"235"},{"Title":"Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT) - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/rsnat-finalevalrpt","Month of Publication":"May","Year of publication":"2021","Abstract":"The Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT) was successful in reducing RSNAT use and total Medicare costs. Over the first five years (2014-2019), the model was successful in reducing RSNAT service use by 72% among beneficiaries with end-stage renal disease and\/or severe pressure ulcers in the model states, relative to a comparison group. This decrease in RSNAT services resulted in nearly $1 billion decrease in total Medicare FFS costs. The model had few to no adverse effects on quality of care or access to care.","Keywords":"Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT), Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT) Second Interim Evaluation Report, Medicare, ambulance, fee for service (FFS), end-stage renal disease (ESRD), transport","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/rsnat-finlevalrpt-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/rsnat-finalevalrpt-app)","Related Content 3":"","Related Content 4":"Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport Model (https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/Prior-Authorization-Initiatives\/Prior-Authorization-of-Repetitive-Scheduled-Non-Emergent-Ambulance-Transport-)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/rsnat-finlevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"236"},{"Title":"Home Health Value-Based Purchasing Model - Fourth Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/hhvbp-fourthann-rpt","Month of Publication":"May","Year of publication":"2021","Abstract":"The HHVBP Model tests if financial incentives to home health agencies drive improvements in quality of care across nine states. Evaluation results from four years of the Model show improvements in quality and savings in Medicare expenditures.","Keywords":"Home Health Value-Based Purchasing Model, HHVBP Model, Medicare, home health","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/hhvbp-fourthann-rpt-fg)","Related Content 2":"Technical Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/hhvbp-fourthann-rpt-app)","Related Content 3":"","Related Content 4":"Home Health Value-Based Purchasing Model (https:\/\/innovation.cms.gov\/innovation-models\/home-health-value-based-purchasing-model)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/hhvbp-fourthann-rpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"237"},{"Title":"Evaluation of the Maryland Total Cost of Care Model: Implementation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/md-tcoc-imp-eval-report","Month of Publication":"July","Year of publication":"2021","Abstract":"The MD TCOC Model tests whether state accountability and provider incentives can improve care and population health for all Marylanders while reducing Medicare expenditures. In the first two model years, the state has engaged hospital and non-hospital providers and has aligned incentives across the healthcare system to achieve model goals to begin transforming care throughout the state.","Keywords":"Maryland, Medicare, poulation health, care transformation","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/md-tcoc-imp-eval-report-fg)","Related Content 2":"Maryland Total Cost of Care Model (https:\/\/innovation.cms.gov\/innovation-models\/md-tccm)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/md-tcoc-imp-eval-report-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"238"},{"Title":"Financial Alignment Initiative Washington Health Home Managed Fee-for-Service (MFFS) Demonstration: Fourth Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-wa-fourth-eval-report","Month of Publication":"July","Year of publication":"2021","Abstract":"The Washington MFFS demonstration focusses on integrated care for high-need, high-cost dually eligible beneficiaries. The demonstration achieved statistically significant gross Medicare Parts A \u0026 B savings over Demonstration Years 4 and 5 by reducing outpatient, physician, and inpatient services","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees  |  (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-wa-fourth-eval-report-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"239"},{"Title":"Report for the Washington Managed Fee-for-Service (MFFS) Final Demonstration Year 4 and Preliminary Demonstration Year 5 Medicare Savings Estimates: Medicare-Medicaid Financial Alignment Initiative","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-wa-prelim-dy5-savings","Month of Publication":"July","Year of publication":"2021","Abstract":"The Washington Managed fee-for-service (MFFS) demonstration focusses on integrated care for high-need, high-cost dually eligible beneficiaries. The actuarial results, which examine expenditures relative to a benchmark, show gross Medicare Parts A \u0026 B savings through Demonstration Year 5.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees  |  (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"240"},{"Title":"Financial Alignment Initiative Colorado Accountable Care Collaborative: Medicare-Medicaid Program (ACC:MMP) Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-co-acc-mmp-eval-report","Month of Publication":"July","Year of publication":"2021","Abstract":"The Colorado Accountable Care Collaborative: Medicare-Medicaid Program demonstration (ACC:MMP) aimed to more effectively integrate the Medicare and Medicaid programs to improve overall beneficiary experience, as well as both quality and costs of care. The demonstration did not result in statistically significant changes in Medicare expenditures. Nursing facility use declined over the course of the demonstration while preventable emergency department visits increased and the probability of 30-day follow-up visits after a mental health hospitalization declined relative to the comparison group.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees  |  (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-co-acc-mmp-eval-report-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"241"},{"Title":"Report for Colorado Managed Fee-for-Service (MFFS) Concluding Demonstration Year 2 and Demonstration Year 3 Medicare Savings Estimates: Medicare-Medicaid Financial Alignment Initiative","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-co-prelim-dy3-savings-report","Month of Publication":"July","Year of publication":"2021","Abstract":"The Colorado Accountable Care Collaborative: Medicare-Medicaid Program demonstration (ACC:MMP) aimed to more effectively integrate the Medicare and Medicaid programs to improve overall beneficiary experience, as well as both quality and costs of care. The actuarial results, which examine expenditures relative to a benchmark, indicate total additional Medicare Parts A \u0026 B costs for Demonstration Years 1 through 3.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees  |  (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"242"},{"Title":"Financial Alignment Initiative Virginia Commonwealth Coordinated Care Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-va-ccc-eval-report","Month of Publication":"July","Year of publication":"2021","Abstract":"Under the Virginia Commonwealth Coordinated Care demonstration, Virginia and CMS contracted with Medicare-Medicaid Plans to coordinate the delivery of, and be accountable for, covered Medicare and Medicaid services for dually eligible beneficiaries. Estimates show a cumulative increase in Medicare expenditures in the demonstration group relative to the comparison group. The demonstration provided managed care experience for the dually eligible population and lessons learned to carry forward to the Commonwealth\u00c3\u00ads next generation program, CCC Plus.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees  |  (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"243"},{"Title":"Financial Alignment Initiative New York Fully Integrated Duals Advantage (FIDA) Combined Second and Third Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-ny-fida-yr2-3-eval-report","Month of Publication":"July","Year of publication":"2021","Abstract":"Under the New York Fully Integrated Duals Advantage (FIDA) demonstration, New York and CMS contracted with Medicare-Medicaid Plans to coordinate the delivery of covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. Qualitative results showed overall satisfaction with FIDA for beneficiaries directly served. Low enrollment continued through the end of the demonstration. The successful integrated appeals process developed under FIDA is continuing after the capitated model of the demonstration ended.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees  |  (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"244"},{"Title":"Financial Alignment Initiative Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience: Third Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-mn-3rd-eval-report","Month of Publication":"July","Year of publication":"2021","Abstract":"The Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience focuses on maintaining an existing integrated approach by reducing the challenges of Medicare-Medicaid misalignment for Medicaid managed care plans participating in the Minnesota Senior Health Options (MSHO) program. Valuable features of the model include a State role in Medicare network adequacy and special needs plan model of care reviews, the demonstration management team, integrated member materials, and an integrated enrollment process.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees  |  (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"245"},{"Title":"Addressing Social Determinants of Health in Demonstrations Under the Financial Alignment Initiative","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-sdoh-issue-brief","Month of Publication":"July","Year of publication":"2021","Abstract":"This Social Determinants of Health Issue Brief highlights the approaches and several promising practices States, plans, and care coordination entities are taking across the demonstrations under the Financial Alignment Initiative to address a wide range of enrollees\u00c3\u00ad social determinants of health. ","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees  |  (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"246"},{"Title":"Part D Enhanced Medication Therapy Management (MTM) Model: Third Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mtm-thrdevalrept","Month of Publication":"August","Year of publication":"2021","Abstract":"The 3rd Evaluation Report for the Enhanced Medication Therapy Management (MTM) Model is now publicly available. The Enhanced MTM Model tests if the impact of giving sponsors flexibilities and incentives to target enrolled beneficiaries and tailor MTM interventions improves therapeutic outcomes and reduces Medicare expenditures.  In the first three years of the Model (2017-2019), sponsors expanded the proportion of enrolled beneficiaries who are not only eligible for MTM services but actually received services.   In doing so, the Model did not result in statistically significant costs or savings to CMS.  These spending impacts first looked at the Medicare Parts A and B expenditures of all enrolled beneficiaries and then accounted for CMS\u00c3\u00ads prospective payments and performance based payment incentives.  Neither spending impacts were statistically significant across the Model, over the first three years of model implementation.  This report also found that the Model\u00c3\u00ads impact on patient safety and medication usage to be mixed.  Subsequent reports will continue to assess if the Model meets its intended goal as it progresses toward completion in 2021.  Those reports will also examine the Model\u00c3\u00ads impacts on beneficiaries who received the Low-Income Subsidy and those who were targeted to receive interventions.","Keywords":"Part D Enhanced Medication Therapy Management (MTM) Model - Third Evaluation Report, Part D Enhanced Medication Therapy Management (MTM) Model, MTM, Part D, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mtm-thrdevalrept-fg)","Related Content 2":"Appendices A (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mtm-thrdevalrept-app)","Related Content 3":"Appendices B (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mtm-thrdevalrept-app-b)","Related Content 4":"CMS Perspective Report (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mtm-thrdevalrept-persp)","Related Content 5":"Part D Enhanced Medication Therapy Management Model (https:\/\/innovation.cms.gov\/innovation-models\/enhancedmtm)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mtm-thrdevalrept-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Perspective Report (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/mtm-thrdevalrept-persp)","Perspective Report":"TRUE","ID":"247"},{"Title":"CMS Innovation Center - Fifth Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/rtc-2020","Month of Publication":"August","Year of publication":"2021","Abstract":"The CMS Innovation Center has released its fifth Report to Congress. The Innovation Center is required by statute to report to Congress on its activities, at minimum, every other year. This report covers activities from October 1, 2018 through September 30, 2020. The CMS Innovation Center\u0027s portfolio of models and initiatives has attracted participation from health care providers, states, payers, and other stakeholders in all 50 states, the District of Columbia, Puerto Rico, and US Territories. The CMS Innovation Center tests payment and service delivery models and initiatives authorized under section 1115A authority. To improve care and value, these model tests focus on reducing program expenditures while improving the quality of care.","Keywords":"CMS Innovation Center - Fifth Report to Congress, RTC, Center for Medicare and Medicaid Innovation, 2020, Medicare, Medicaid, Childrens Health Insurance Program, CHIP, models, initiatives, programs, demonstrations, Section 1115A, Affordable Care Act","Type":"Reports","Related Content":"CMS Innovation Center (https:\/\/innovation.cms.gov\/index.html)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"248"},{"Title":"Pennsylvania Rural Health Model (PARHM) First Annual Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/parhm-ar1-full-report","Month of Publication":"August","Year of publication":"2021","Abstract":"The Pennsylvania Rural Health Model (PARHM) First Annual Report describes the implementation experience for Model stakeholders, including participating hospitals and payers. Descriptive results on the first five rural participant hospitals cover baseline financial performance and utilization. Global budget payments, fixed payments given by participating payers to cover eligible hospital services in participating hospitals, helped hospitals to stabilize revenue over the course of the first performance year (PY1) of the model. Rural hospitals participating in PY1 indicated that their decisions to participate in the Model were motivated in large part by potential short- and long-term financial benefits. Participant hospitals that joined in PY1 experienced a decline in financial viability in the baseline years (2013-2018) leading up to the Model. ","Keywords":"Rural health, Pennsylvania, Affordable Care Act (ACA), Innovation Models, Health Equity","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/parhm-ar1-aag)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/parhm-ar1-app)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/parhm-ar1-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"249"},{"Title":"Vermont All-Payer ACO Model (VTAPM) - First Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/vtapm-1st-eval-full-report","Month of Publication":"August","Year of publication":"2021","Abstract":"The first two years the Vermont All-payer Accountable Care Organization Model (VTAPM) (2018-2019) have reduced Medicare spending in the state. The savings appear to be driven primarily by decreases in hospitalizations, including unplanned readmissions. It is difficult to determine, however, how much credit to give to the VTAPM versus Vermonts previous investments in primary care and population health initiatives that continued under the VTAPM, and the general statewide culture of reform.","Keywords":"Accountable Care Organization (ACO), All-Payer, State-Based Care, Innovation, Health Care Equity","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/vtapm-1st-eval-report-aag)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/vtapm-1st-eval-report-app)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/vtapm-1st-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"250"},{"Title":"Comprehensive Care for Joint Replacement (CJR) Model: Fourth Annual Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cjr-py4-annual-report","Month of Publication":"September","Year of publication":"2021","Abstract":"The CJR model continues to demonstrate that a mandatory model for episode-based bundled payments is a promising approach to reduce payments for lower extremity joint replacement episodes. The mandatory CJR hospitals achieved statistically significant reductions in episode payments, relative to the control group, due to reductions in institutional post-acute care use, without compromising quality. In April 2021, CMS issued a final rule to extend and make changes to the CJR model that could result in different evaluation findings in the future. This final rule revises the episode definition, payment methodology, and makes other modifications to the model to adapt the CJR model to changes in practice and fee-for-service payment occurring over the past several years and limits participation to 34 higher cost MSAs. ","Keywords":"Comprehensive Care for Joint Replacement Model - First Annual Report, CJR, joint replacement, Medicare, episode based payments, lower extremity joint replacement (LEJR), Metropolitan Statistical Areas (MSAs)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cjr-py4-ar-findings-aag)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cjr-py4-ar-app)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cjr-py4-ar-findings-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"251"},{"Title":"Rural Community Hospital Demonstration (RCHD) - First Interim Report (2005-2017)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/rchd-1st-interim-report","Month of Publication":"September","Year of publication":"2021","Abstract":"Results of the RCHD First Interim Report showed that the demonstration provided higher Medicare payments for covered inpatient hospital services.  During the 2005-2017 period, the average annual payment increase was $1.8 million per hospital.  The RCHD had little impact on the overall financial condition, since the participating hospitals remained relatively better off than eligible non-participant hospitals.  ","Keywords":"","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/rchd-1st-interim-report-aag)","Related Content 2":"Rural Community Hospital Demonstration (RCHD)  |  (https:\/\/innovation.cms.gov\/innovation-models\/rural-community-hospital)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/rchd-1st-interim-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"252"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees California Cal MediConnect - Preliminary Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-calif-prelim-er2","Month of Publication":"September","Year of publication":"2021","Abstract":"Under the Cal MediConnect model, California and CMS contracted with Medicare-Medicaid Plans to provide Medicare-Medicaid enrollees with a more coordinated, Person-centered care experience by integrating the full range of medical, behavioral health, and long-term services and supports. Estimates show a cumulative increase over the first three demonstration years in Medicare expenditures in the demonstration group relative to the comparison group.  ","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees California Cal MediConnect - Preliminary SecondEvaluation Report, California, CA, Medicare, Medicaid","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-calif-prelim-er2-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"253"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Illinois Medicare-Medicaid Alignment Initiative - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-illinois-er2","Month of Publication":"September","Year of publication":"2021","Abstract":"Under the Illinois Medicare-Medicaid Alignment Initiative demonstration, Illinois and CMS contracted with Medicare-Medicaid Plans to coordinate the delivery of covered Medicare and Medicaid services for dually eligible beneficiaries. Estimates show no significant cumulative impact on Medicare expenditures in the demonstration group relative to the comparison group. Monthly physician evaluation and management (E\u0026M) visits, as well as the probability of any long-stay nursing facility use and probability of ambulatory care sensitive condition (ACSC) admissions increased more in the demonstration group relative to the comparison group.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Illinois Medicare-Medicaid Alignment Initiative - Second Evaluation Report, Illinois, IL, Medicare, Medicaid, capitation","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-illinois-er2-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"254"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Massachusetts One Care - Preliminary Fourth Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-mass-er4","Month of Publication":"September","Year of publication":"2021","Abstract":"Under the Massachusetts One Care demonstration, Massachusetts and CMS contracted with Medicare-Medicaid Plans to coordinate the delivery of covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. Estimates show no significant cumulative impact on Medicare expenditures in the demonstration group relative to the comparison group. The probability of any long-stay nursing facility use decreased more in the demonstration group, relative to the comparison group while monthly physician E\u0026M visits increased. There also were increases in the probability of inpatient admissions, probability of chronic ACSC admissions, monthly readmissions, and probability of skilled nursing facility admission relative to the comparison group. ","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Massachusetts One Care - Preliminary Fourth Evaluation Report, Massachusetts One Care, Financial Alignment Initiative for Medicare-Medicaid Enrollees","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"255"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees - Washington Managed Fee-for-Service (MFFS) Final Demonstration Final Year 5 Preliminary Year 6 Savings Estimates","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/fai-wash-dy6-actuarial-report","Month of Publication":"September","Year of publication":"2021","Abstract":"The Washington Managed fee-for-service (MFFS) demonstration focusses on integrated care for high-need, high-cost dually eligible beneficiaries. The actuarial results, which examine expenditures relative to a benchmark, show gross Medicare Parts A \u0026 B savings through Demonstration Year 6.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"256"},{"Title":"State Innovation Models Initiative: Model Test Awards Round Two Final Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/sim-rd2-test-final","Month of Publication":"October","Year of publication":"2021","Abstract":"The State Innovation Models (SIM) Round Two Model Test Final Report provides summative findings of the efforts for the following Model Test states: Colorado, Connecticut, Delaware, Iowa, Idaho, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington.","Keywords":"State Innovation Models Initiative: Model Test Awards Round Two Final Annual Report, State Innovation Models Initiative: Model Test Awards Round Two, SIM","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/sim-rd2-test-final-fg)","Related Content 2":"Appendix (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/sim-rd2-test-final-appendix)","Related Content 3":"State Innovation Models Initiative: Model Test Awards Round Two (https:\/\/innovation.cms.gov\/innovation-models\/state-innovations-model-testing-round-two)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/sim-rd2-test-final-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"257"},{"Title":"Next Generation Accountable Care Organization Model Fourth Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/nextgenaco-fourthevalrpt","Month of Publication":"October","Year of publication":"2021","Abstract":"The Fourth Report of the Next Generation ACO Model (NGACO) Evaluation presents results across the first four years (2016-2019) of the NGACO Model. The NGACO Model tests whether greater financial risk, alternative payment mechanisms and benefit enhancements designed to provide more flexibility in care, reduces Medicare expenditures and improves the quality of care for Medicare beneficiaries. ACOs in the model joined in one of three ACO cohorts that joined in 2016, 2017, or 2018. The model is scheduled to end in December of 2021. ","Keywords":"Next Generation Accountable Care Organization (ACO) Model, Medicare Shared Savings Program (MSSP), Next Generation ACO Model, accountable care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/nextgenaco-fg-fourthevalrpt)","Related Content 2":"Technical Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/nextgenaco-fourthevalrpt-techapp)","Related Content 3":"Next Generation ACO model (https:\/\/innovation.cms.gov\/innovation-models\/next-generation-aco-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/nextgenaco-fg-fourthevalrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"258"},{"Title":"Independence at Home Demonstration - Year Six Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/iah-year6-eval-report","Month of Publication":"November","Year of publication":"2021","Abstract":"The Independence at Home (IAH) Demonstration was launched in 2012 through Section 3024 of the Patient Protection and Affordable Care Act. Under the demonstration, physician- and nurse-led teams provide primary care services in the homes of beneficiaries with chronic illness and functional limitations. IAH practices receive a payment incentive if they generate savings above an established threshold and meet quality-of-care targets. This evaluation report covers the first six years of the demonstration and examines the IAH incentive payment\u00c3\u00ads effects on spending, utilization, and quality as well as subanalyses of home-based primary care for Medicare-Medicaid dual-eligible beneficiaries and decedents.","Keywords":"Independence at Home Demonstration, Independence at Home Demonstration - Year Six Evaluation Report, IAH, primary care, chronic illness, home-based primary care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/iah-year6-eval-report-fg)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/iah-year6-eval-report-app)","Related Content 3":"Independence at Home Demonstration (https:\/\/innovation.cms.gov\/initiatives\/Independence-at-Home\/)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/iah-year6-eval-report-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"259"},{"Title":"Oncology Care Model -  Performance Periods 1-6: OCM Impact on Payments","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-payment-impacts","Month of Publication":"December","Year of publication":"2021","Abstract":"The Oncology Care Model (OCM) is designed to achieve cost savings and improve cancer care. After 6 performance periods, total episode payments increased substantially in both OCM and comparison episodes, but slightly less in OCM episodes. While this difference was statistically significant, it was small, representing approximately 1% of baseline episode payments. Payment reductions were concentrated in higher-risk episodes. When model payments were included, OCM resulted in net losses for Medicare. ","Keywords":"Oncology Care Model - Evaluation Report: Performance Periods 1-6, Oncology Care Model, OCM, cancer, Medicare, oncology","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-part-persp-aag)","Related Content 2":"Appendices (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-payment-impacts-app)","Related Content 3":"","Related Content 4":"","Related Content 5":"Oncology Care Model (https:\/\/innovation.cms.gov\/innovation-models\/oncology-care)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-part-persp-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-payment-impacts-exec-summ)","Perspective Report":"TRUE","ID":"260"},{"Title":"Oncology Care Model Participants Perspectives","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-part-persp-report","Month of Publication":"December","Year of publication":"2021","Abstract":"The Oncology Care Model (OCM) resulted in substantial person-centered practice transformation, with many examples of beneficial spill-over to non-Medicare patients. The report focuses on participants\u00c3\u00ad reasons for joining OCM, and what they learned through the first four model years about making care more person-centered, incorporating value-based payment in treatment decisions and care delivery, using data\/analytics to inform quality improvement, and standardizing care across oncologists and clinics. ","Keywords":"Oncology Care Model - Evaluation Report: Performance Periods 1-5, Oncology Care Model, OCM, cancer, Medicare, oncology","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-part-persp-aag)","Related Content 2":"Performance Periods 1-6: OCM Impact on Payments (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-payment-impacts)","Related Content 3":"Appendices (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-payment-impacts-app)","Related Content 4":"Executive Summary (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-payment-impacts-exec-summ)","Related Content 5":"Oncology Care Model (https:\/\/innovation.cms.gov\/innovation-models\/oncology-care)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/ocm-ar4-eval-part-persp-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"261"},{"Title":"Financial Alignment Initiative Rhode Island Integrated Care Initiative: Combined First and Second Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-ri-er1and2","Month of Publication":"January","Year of publication":"2022","Abstract":"Under the Rhode Island Integrated Care Initiative, Rhode Island and CMS contracted with a Medicare-Medicaid Plan to develop an integrated system of care and provide Medicare-Medicaid enrollees with person-centered care to improve quality of life. Estimates show a cumulative increase over the first two demonstration years in Medicare expenditures in the demonstration group relative to the comparison group. Probability of emergency department (ED) visits and the number of preventable ED visits decreased, and the number of physician evaluation and management visits increased - all favorable findings.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-ri-er1and2-aag)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-ri-er1and2-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"262"},{"Title":"Financial Alignment Initiative South Carolina Healthy Connections Prime Second Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-sc-er2","Month of Publication":"January","Year of publication":"2022","Abstract":"Under South Carolina Healthy Connections Prime, South Carolina and CMS contracted with Medicare-Medicaid Plans to develop person-centered care delivery models integrating the full range of medical, behavioral health, and long-term services and supports for Medicare-Medicaid enrollees.  Estimates show no cumulative impact on Medicare expenditures over the first three demonstration years and increases in Medicaid expenditures over demonstration years two and three. Probability of inpatient admissions decreased and the count of physician evaluation and management visits increased, both favorable findings. Probability of any long-stay nursing facility use increased over the first three demonstration years. ","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-sc-er2-aag)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-sc-er2-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"263"},{"Title":"Financial Alignment Initiative Washington Health Home Managed Fee-for-Service Demonstration: Fifth Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-wa-er5","Month of Publication":"January","Year of publication":"2022","Abstract":"The Washington Managed fee-for-service demonstration focusses on integrated care for high-need, high-cost dually eligible beneficiaries. Estimates show cumulative decreases in Medicare expenditures over the first six years of the demonstration. Probability of skilled nursing facility admissions and any long-stay nursing facility use decreased, favorable findings. Number of physician evaluation and management visits and probability of 30-day follow-up after mental health discharge decreased. ","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-wa-er5-aag)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-wa-er5-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"264"},{"Title":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - Final Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/nfi2-final-report","Month of Publication":"January","Year of publication":"2022","Abstract":"CMS will post the Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents\u00c3\u00b3Payment Reform Final Report on the CMMI website.  This report serves as the final report for the Nursing Facility Initiative Phase 2 (NFI 2).  Both NFI 1 and NFI 2 worked to reduce avoidable hospitalizations for nursing facility residents.  NFI 2 built on the clinical and educational interventions in NFI Phase 1 to test a new payment incentive to reduce avoidable hospitalizations among long-stay residents and ended in September 2020.  In contrast to NFI Phase 1, which was associated with favorable reductions in potentially avoidable hospitalizations, NFI 2 payment incentives were not associated with reductions in hospital-related utilization among eligible residents. NFI 2 did not yield savings to the Medicare program among either Clinical + Payment (C+P) or Payment-Only (P-O) facilities. Consistent with NFI 1, NFI 2 did not achieve net Medicare savings after accounting for implementation costs. NFI 2 billing patterns suggested that facility treatment for the six qualifying conditions did not substitute for hospitalization. CMS anticipates using Twitter to alert stakeholders of the posted report.","Keywords":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two - Final Report, Nursing Facility Residents (NFR), Medicare, hospitalization","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/nfi2-final-aag-report)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/nfi2-final-report-appendices)","Related Content 3":"Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two (https:\/\/innovation.cms.gov\/innovation-models\/rahnfr-phase-two)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/nfi2-final-aag-report)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"265"},{"Title":"Comprehensive ESRD Care Model - Performance Year 5 Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cec-annrpt-py5","Month of Publication":"January","Year of publication":"2022","Abstract":"Through the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model, CMS partnered with dialysis facilities and nephrologists that form specialty-based accountable care organizations. The CEC Model?reduced spending and hospitalizations and improved quality measures, such as long-term catheterization, for Medicare beneficiaries with ESRD. ","Keywords":"Comprehensive ESRD Care Model - Performance Year 5 Annual Report, end-stage renal disease, kidney, Medicare, accountable care organization, ACO, dialysis","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cec-annrpt-py5-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cec-annrpt-py5#page=105)","Related Content 3":"Comprehensive ESRD Care Model (https:\/\/innovation.cms.gov\/innovation-models\/comprehensive-esrd-care)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cec-annrpt-py5-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"266"},{"Title":"BPCI Advanced Third Annual Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/bpci-adv-ar3","Month of Publication":"February","Year of publication":"2022","Abstract":"CMS will release on Cms.gov the third annual report on the evaluation of the BPCI Advanced Model covering Model Years 1 \u0026 2 (October 2018 - December 2019). The Model builds on BPCI Model 2 and tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Hospitals and PGPs participating in the BPCI Advanced Model reduced Medicare fee-for-service payments primarily by reducing post-acute care use. For surgical episodes overall, BPCI Advanced achieved net savings to Medicare and possibly improved quality of care, driven mostly by orthopedic procedures. Savings from surgical episodes, however, were fully offset by losses from medical episodes. Evidence indicates that, generally, target prices were too high for medical episodes but were more accurate for surgical episodes. CMS made significant design changes starting in Model Year 4 (2021) to improve the model\u00c3\u00ads target pricing, which will be analyzed in future evaluation reports. The report is being released in accordance with the statute that requires timely release of evaluation reports.  There is no planned media for this item.","Keywords":"Bundled Payments for Care Improvement Advanced Initiative, BPCI-Advanced, evaluation, Third Annual Report","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/bpci-adv-ar3-findings-aag)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/bpci-adv-ar3-appendices)","Related Content 3":"BPCI Advanced  (https:\/\/innovation.cms.gov\/innovation-models\/bpci-advanced)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/bpci-adv-ar3-findings-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"267"},{"Title":"Maternal Opioid Misuse (MOM) Model","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mom-preimp-report","Month of Publication":"February","Year of publication":"2022","Abstract":"Under the Maternal Opioid Misuse (MOM) Model, the CMS Innovation Center contracted with state Medicaid programs in order to improve quality; reduce expenditures; and integrate perinatal, behavioral health, and substance abuse treatment for pregnant and postpartum Medicaid beneficiaries with opioid use disorder. Eight states and their care delivery partners will test models intended to achieve those goals. Initial qualitative investigation, which covers the pre-implementation period (before beneficiaries began enrolling), identified many barriers to care for the population, including transportation, childcare, and stigma associated with substance use. Award recipients hope MOM\u00c3\u00ads integrated approaches will help alleviate these barriers but have faced challenges in identifying community resources that can meet beneficiaries\u00c3\u00ad needs. Award recipients also faced challenges to integrating data systems, but with support, most were able to adapt existing systems.","Keywords":"Maternity, Opioids, Substance Use Disorder, prenatal, behavioral health, postpardum, pregnancy, medicaid,  ","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mom-preimp-report-aag)","Related Content 2":"Maternal Opioid Misuse (MOM) Model  (https:\/\/innovation.cms.gov\/innovation-models\/maternal-opioid-misuse-model)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mom-preimp-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"268"},{"Title":"Million Hearts: Cardiovascular Disease Risk Reduction Model - Fourth Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mhcvdrrm-fourthannevalrpt","Month of Publication":"February","Year of publication":"2022","Abstract":"The Million Hearts fourth annual evaluation report describes how the Million Hearts Model was implemented during its first four years, and includes estimates of the models impact on heart attacks, strokes, survival, and spending. Overall, the Model has improved cardiovascular preventive care, but has not yet reduce observed heart attacks and strokes or lower Medicare spending. Providers in the Million Hearts Model were more likely than control group providers to report measuring, and being aware of, their patients\u0027 cardiovascular risk. Beneficiaries enrolled by the intervention group were also more likely to initiate or intensify medications to lower blood pressure or cholesterol. These changes contributed to reductions in overall predicted risk of having a heart or attack or stroke, primarily driven by reductions in blood pressure and cholesterol. However, over 4 years, the model did not reduce the incidence of first-time heart attacks or strokes, or impact Medicare spending.","Keywords":"Million Hearts: Cardiovascular Disease Risk Reduction Model - Fourth Annual Evaluation Report, Million Hearts: Cardiovascular Disease Risk Reduction Model, heart attacks, strokes, Medicare, cardiovascular, CVD, prevention","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mhcvdrrm-fourthannevalrpt-fg)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"Million Hearts: Cardiovascular Disease Risk Reduction Model (https:\/\/innovation.cms.gov\/innovation-models\/million-hearts-cvdrrm)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mhcvdrrm-fourthannevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"269"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Michigan Health Link - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-mi-secondevalrpt","Month of Publication":"March","Year of publication":"2022","Abstract":"Under Michigan MI Health Link, Michigan and CMS contracted with Integrated Care Organizations to develop an integrated system of care and provide Medicare-Medicaid enrollees with person-centered care to improve quality of life. Estimates show a cumulative increase over the first three demonstration years in Medicare expenditures in the demonstration group relative to the comparison group. The number of physician evaluation and management visits increased, a favorable finding. Probability of any long-stay nursing facility use also increased. ","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Michigan, MI, Medicare, Medicaid, Michigan Health Link, evaluation report","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mhcvdrrm-fourthannevalrpt-fg)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-mi-secondevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"270"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Integrated Appeals and Grievances Demonstration - First Brief Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-ny-first-combined-rpt","Month of Publication":"March","Year of publication":"2022","Abstract":"The New York Integrated Appeals and Grievances demonstration focusses on integrating a previously bifurcated process for Medicare and Medicaid appeals for enrollees in Fully Integrated Dual Eligible Special Needs Plans (FIDE-SNPs). Beneficiary advocates, plans, and the State favorably viewed the NY Integrated A\u0026G demonstration because it unifies a divided process and fits within the CMS and State goals of better integrating Medicare and Medicaid services for dually eligible beneficiaries. They noted that having a single avenue of appeal streamlined the process and lessened beneficiary confusion.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, New York, NY, Medicare, Medicaid, New York Integrated Appeals and Grievances Demonstration, first brief report","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"271"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees MyCare Ohio - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-oh-secondevalrpt","Month of Publication":"March","Year of publication":"2022","Abstract":"Under MyCare Ohio, Ohio and CMS contracted with Medicare-Medicaid Plans to develop person-centered care delivery models integrating the full range of medical, behavioral health, and long-term services and supports for Medicare-Medicaid enrollees.  Estimates show cumulative increases in Medicare expenditures in the demonstration group relative to the comparison group over the first four demonstration years. Probability of inpatient admissions decreased, the number of physician evaluation and management visits increased, probability of any long-stay nursing facility use decreased, and probability of 30-day follow-up after mental health discharge increased, all favorable findings. Probability of an emergency department (ED) visit, preventable ED visits, and probability of ambulatory care sensitive condition admissions (overall and chronic) all increased over the first four demonstration years. ","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees MyCare Ohio - First Evaluation Report, OHIO, OH, Medicare, Medicaid","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-oh-secondevalrpt-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-oh-secondevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"272"},{"Title":"Medicare Care Choices Model: Fourth Annual Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mccm-fourth-annrpt","Month of Publication":"April","Year of publication":"2022","Abstract":"Medicare beneficiaries in MCCM were more likely to enroll in the Medicare hospice benefit than matched comparison beneficiaries, less likely to use hospital services, and more likely to receive better quality end-of-life care in the period between enrollment in MCCM and death. Decreased use of resource-intensive services (e.g., intensive care unit stays), driven by earlier enrollment in the hospice benefit, resulted in lower Medicare expenditures.","Keywords":"Medicare Care Choices Model - Fourth Annual Report, Medicare Care Choices Model, MCCM, hospice, support care services, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mccm-fg-fourth-annrpt)","Related Content 2":"Medicare Care Choices Model  (https:\/\/innovation.cms.gov\/innovation-models\/medicare-care-choices)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mccm-fg-fourth-annrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"273"},{"Title":"Part D Enhanced Medication Therapy Management (MTM) Model - Fourth Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mtm-fourth-evalrept","Month of Publication":"April","Year of publication":"2022","Abstract":"The Part D Enhanced Medication Therapy Management (MTM) Model tested if the impact of giving sponsors flexibilities and incentives to target enrolled beneficiaries and tailor MTM interventions improved therapeutic outcomes and reduced Medicare expenditures. The Model enabled an expansion of services such that, over half a million enrollees received Enhanced MTM services in the 4th Model Year. Despite this expansion, the Model did not result in statistically significant costs or savings to CMS over the first four Model Years. These spending impacts first looked at the Medicare Parts A and B expenditures of all enrolled beneficiaries and then accounted for CMS\u00c3\u00ads prospective payments and performance based payment incentives. Neither spending impacts were statistically significant across the Model, over the first four years of model implementation. This report also found that the Model had no impacts on beneficiaries eligible for the Low-Income Subsidy or who had medically complex profiles. The next and final report will examine the full life of the 5-year model.","Keywords":"Part D Enhanced Medication Therapy Management (MTM) Model - Fourth Evaluation Report, MTM Model, Medicare Part A, Medicare Part B, medication use","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mtm-fourth-evalrept-fg)","Related Content 2":"Appendices A (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mtm-fourth-evalrept-appa)","Related Content 3":"Appendices B (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mtm-fourth-evalrept-appb)","Related Content 4":"Part D Enhanced Medication Therapy Management Model (https:\/\/innovation.cms.gov\/innovation-models\/enhancedmtm)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mtm-fourth-evalrept-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"274"},{"Title":"Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/hhvbp-fifthann-rpt","Month of Publication":"April","Year of publication":"2022","Abstract":"Evaluation results show improvements in OASIS quality measures and reduction in Medicare expenditures. The HHVBP Model tests if financial incentives to home health agencies drive improvements in quality of care across nine states.","Keywords":"Home Health Value-Based Purchasing Model, HHVBP Model, Medicare, home health","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF) |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/hhvbp-fifthann-rpt-fg)","Related Content 2":"Appendices (PDF) |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/hhvbp-fifthann-rpt-app)","Related Content 3":"Home Health Value-Based Purchasing Model  (https:\/\/innovation.cms.gov\/innovation-models\/home-health-value-based-purchasing-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/hhvbp-fifthann-rpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"275"},{"Title":"Comprehensive Primary Care (CPC+) Plus - Fourth Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cpc-plus-fourth-annual-eval-report","Month of Publication":"May","Year of publication":"2022","Abstract":"CPC+ practices made meaningful changes to care delivery during the first four years of the model but still had work to do in the remaining year to further improve quality of care for Medicare beneficiaries. Also, CPC+ had a few, small impacts on cost, service use and quality during the first four years but it is too early to draw conclusions about longer-term effects.","Keywords":"Comprehensive Primary Care (CPC+) Plus - Fourth Annual Report, CPC Plus, primary care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF) | (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cpc-plus-fourth-annual-report-findings)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2021\/cpc-plus-third-annual-report-app)","Related Content 3":"","Related Content 4":"","Related Content 5":"Comprehensive Primary Care Plus (https:\/\/innovation.cms.gov\/innovation-models\/comprehensive-primary-care-plus)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cpc-plus-fourth-annual-report-findings)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"276"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Fully Integrated Duals Advantage for Individuals with Intellectual and Developmental Disabilities Preliminary Combined First and Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-ny-fida-idd-prelim-firstsecondevalrpt","Month of Publication":"June","Year of publication":"2022","Abstract":"Under the New York Fully Integrated Duals Advantage for Individuals with Intellectual and Developmental Disabilities demonstration, New York and CMS contracted with a Medicare-Medicaid Plan to develop an integrated system of care to provide Medicare-Medicaid enrollees with intellectual and\/or developmental disabilities with person-centered care, promote independence in the community, and improve care coordination. Estimates show increases over the first two demonstration years on Medicare expenditures and no impact on Medicaid total costs of care in the demonstration group relative to the comparison group.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Fully Integrated Duals Advantage for Individuals with Intellectual and Developmental Disabilities Preliminary Combined First and Second Evaluation Report, Medicare-Medicaid dual enrollees, Medicare, Medicaid","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF) | (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-ny-fida-idd-prelim-firstsecondevalrpt-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-ny-fida-idd-prelim-firstsecondevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"277"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Texas Dual Eligible Integrated Care Demonstration Preliminary Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-tx-secondprelimevalrpt","Month of Publication":"June","Year of publication":"2022","Abstract":"Under the Texas Dual Eligible Integrated Care Demonstration, Texas and CMS contracted with Medicare-Medicaid Plans to provide integrated benefits for Medicare-Medicaid enrollees.  Estimates show no impact on Medicare expenditures in the demonstration group relative to the comparison group over the first three demonstration years. Cumulative estimates of Medicaid total costs of care decreased in the demonstration group relative to an in-state comparison group. Probability of skilled nursing facility admissions and probability of any long-stay nursing facility use decreased, both favorable findings. Probability of an emergency department (ED) visit and preventable ED visits both increased over the first three demonstration years. ","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Texas Dual Eligible Integrated Care Demonstration Preliminary Second Evaluation Report, Medicare-Medicaid dual enrollees, Medicare, Medicaid ","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF) | (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-tx-secondprelimevalrpt-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/initiatives\/Financial-Alignment\/)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/fai-tx-secondprelimevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"278"},{"Title":"Pennsylvania Rural Health Model (PARHM) Second Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/parhm-ar2","Month of Publication":"June","Year of publication":"2022","Abstract":"The PA Rural Health Model (PARHM) 2nd evaluation report covers the implementation experience and descriptive results for 13 participant rural hospitals and stakeholders, including payers in the Pennsylvania Rural Health Model. Global budget payments, fixed payments given by participating payers to cover eligible hospital services in participating hospitals, helped hospitals to stabilize revenue over the course of the second performance year (PY2) of the model, but the reconciliation process generated some anxiety for model stakeholders. Cohort 2 hospitals made progress on transformation plans. Participant hospitals engaged community organizations, hired staff to track patients with chronic conditions, and developed processes to improve care coordination. ","Keywords":"Rural health, Pennsylvania, Affordable Care Act (ACA), Innovation Models, Health Equity","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/parhm-ar2-aag)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/parhm-ar2-app)","Related Content 3":"Pennsylvania Rural Health Model (https:\/\/innovation.cms.gov\/innovation-models\/pa-rural-health-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/parhm-ar2-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"279"},{"Title":"White Paper - Synthesis of Evaluation Results Across 21 Medicare Models (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/wp-eval-synthesis-21models","Month of Publication":"July","Year of publication":"2022","Abstract":"The Synthesis of Evaluation Results across 21 Medicare Models 2012-2020 examined the evaluation results - including utilization, quality and cost metrics \u00c3\u00b1 across 21 Medicare models to gain a broader understanding of themes by interventions, health care settings, provider types, and beneficiary target populations. For the purpose of this exercise, models were classified as either \u00c3\u00acAcute or Specialty Care \u0026 Targeted Populations\u00c3\u00ae or \u00c3\u00acPrimary Care \u0026 Population Management\u00c3\u00ae. The synthesis found that models focused on reducing acute or specialty care or that targeted specific populations (e.g., terminal illness, lower extremity joint replacements) were more likely to show gross savings and generally had larger, more favorable impacts on utilization relative to models focused on primary care and population management which generally serve broader, healthier populations. The two groupings of models serve different purposes to effectively manage both the complex and heathier populations that make-up the Medicare beneficiary population.","Keywords":"Evaluations, Results, Medicare, Acute Care, Specialty Care, Targeted Populations, Primary Care, Population Management","Type":"Other","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/wp-eval-synthesis-21models-aag)","Related Content 2":"Slides (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/wp-eval-synthesis-21models-slides)","Related Content 3":"Recording (MP4)  |  (https:\/\/innovation.cms.gov\/media\/video-file\/wp-eval-synthesis-21models-recording)","Related Content 4":"Transcript (PDF)  (https:\/\/innovation.cms.gov\/media\/document\/wp-eval-synthesis-21models-transcr)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/wp-eval-synthesis-21models-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"280"},{"Title":"Integrated Care for Kids (InCK) Model: Evaluation Report 1 (Pre-Implementation Period) (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/inck-model-pre-imp-first-eval-rpt","Month of Publication":"August","Year of publication":"2022","Abstract":"The Integrated Care for Kids (InCK) Model is a child-centered local service delivery and state payment model. Through prevention, early identification, and treatment of behavioral health, physical health, and health-related social needs, the model supports states and local providers through a framework of child-centered care integration. Findings from the pre-implementation period include challenges with integrating a complex and fragmented service system with noted inequities; limited availability of culturally competent providers who accept Medicaid; navigation challenges including provider availability, transportation, and stigma associated with behavioral health; and distrust in the service system resulting from current and historical trauma, discrimination, and mistreatment.","Keywords":"Medicare, Medicaid, Children\u0027s Health, Local Populations, State-Based, Children\u00c3\u00ads Health Insurance Program (CHIP), innovation, Connecticut, Illinois, North Carolina, New Jersey, New York, Ohio","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/inck-model-pre-imp-first-eval-rpt-aag)","Related Content 2":"Integrated Care for Kids (InCK) Model  (https:\/\/innovation.cms.gov\/innovation-models\/integrated-care-for-kids-model)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/inck-model-pre-imp-first-eval-rpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"281"},{"Title":"Medicare Intravenous Immune Globulin (IVIG) Demonstration - Updated Interim Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/ivig-updatedintrtc","Month of Publication":"October","Year of publication":"2022","Abstract":"Under the Medicare Intravenous Immune Globulin (IVIG) Demonstration, Medicare provides a bundled payment for items and services that are needed for in-home administration of intravenous immune globulin (IVIG) for the treatment of primary immune deficiency disease (PIDD). This updated Interim Report to Congress provides evaluation findings of the Demonstration for the period October 2014 through December 2020.  The Demonstration led to a relative increase of $8,082 per beneficiary per year in Medicare payments, an increase in the number of annual therapies received, reduced likelihood of Demonstration enrollees missing or having to postpone their IVIG therapies, and a decrease in receipt of infection-related services.","Keywords":"Medicare Intravenous Immune Globulin (IVIG) Demonstration - Updated Interim Report to Congress, IVIG Demonstration, RTC, Medicare","Type":"Reports","Related Content":"Medicare Intravenous Immune Globulin (IVIG) Demonstration (https:\/\/innovation.cms.gov\/innovation-models\/ivig)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"282"},{"Title":"Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/vbid-1st-report-2022","Month of Publication":"October","Year of publication":"2022","Abstract":"Participation in the VBID model test has increased substantially since Phase II of the model test began, with a notable pivot to addressing health-related social needs; there are early signals that VBID-Proper is associated with a reduction in plan bids. VBID-Hospice is getting underway; while utilization of its component services was lower than expected, operational challenges to a large extent subsided over the course of 2021. ","Keywords":"","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/vbid-1st-report-2022-bdi-aag)","Related Content 2":"Hospice Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/vbid-1st-report-2022-hospice-aag)","Related Content 3":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/vbid-1st-report-2022-app)","Related Content 4":"Medicare Advantage Value-Based Insurance Design Model (VBID)  (https:\/\/innovation.cms.gov\/innovation-models\/vbid)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/vbid-1st-report-2022-bdi-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"283"},{"Title":"An Update on the Implementation of the CMS Innovation Center\u00c3\u00ads Strategy and Specialty Care Approach","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cmmi-strategy-refresh-imp-report","Month of Publication":"November","Year of publication":"2022","Abstract":"The CMS Innovation Center released a one-year report on the implementation of its refreshed strategic vision and objectives, which were originally announced in fall 2021. Through Innovation Center payment models, CMS is building the foundation for a health system that achieves equitable outcomes through high-quality, affordable, person-centered care. The one-year report outlines actions taken to work toward better care for beneficiaries, through greater accountability for high-quality, person-centered care, more coordinated care, advancing health equity, increased access, and promoting transparency.","Keywords":"Innovation, Strategy, person-centered care, blog, accountable care, health equity, affordability, partnerships, system transformation","Type":"Reports","Related Content":"Supplemental Technical Document (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cmmi-strategy-refresh-imp-tech-report)","Related Content 2":"CMMI Strategic Direction (https:\/\/innovation.cms.gov\/strategic-direction)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Supplemental Technical Document (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/cmmi-strategy-refresh-imp-tech-report)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"284"},{"Title":"Part D Senior Savings Model - First Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/pdss-first-eval-rpt","Month of Publication":"November","Year of publication":"2022","Abstract":"By 2022, all U.S. insulin manufacturers and most eligible Part D plans participated in the Part D Senior Savings (PDSS) Model. Enrollees with at least one insulin fill in early 2021 were largely similar across participating and nonparticipating plans, but insulin using enrollees of participating MA-PDs were more likely to be White, compared with eligible nonparticipants. Most participating plans charged enrollees the maximum $35 copayment for insulins. Most participating Part D plans adopted the narrower first risk corridor component, but very few opted for the Rewards and Incentive program.","Keywords":"Medicare, Part d, insulin, $35 copayment, prescription drugs, drug costs ","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/pdss-first-eval-aag-rpt)","Related Content 2":"Part D Senior Savings model (https:\/\/innovation.cms.gov\/innovation-models\/part-d-savings-model)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/pdss-first-eval-aag-rpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"285"},{"Title":"Medicare Diabetes Prevention Program (MDPP) Second Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mdpp-2ndannevalrpt","Month of Publication":"November","Year of publication":"2022","Abstract":"The MDPP second evaluation report describes how the program was implemented since the launch of the program in April 2018 through December 2021. It also examines whether MDPP participation results in weight loss, lower Medicare expenditures, and improved health outcomes (e.g., fewer cases of diabetes). The number of participating suppliers and beneficiaries has grown steadily, but slowly, since the start of the program. MDPP beneficiaries have lost weight and are largely meeting physical activity goals, thereby meeting a key intermediary goal of the program. At this point, evidence suggests that the program does not impact Medicare expenditures, and it is too early to assess the program\u00c3\u00ads impact on diabetes incidence due to the limited number of beneficiaries with long-term follow-up periods.","Keywords":"Medicare, Diabetes Prevention","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mdpp-2ndannevalrpt-fg)","Related Content 2":"Medicare Diabetes Prevention Program (MDPP) (https:\/\/innovation.cms.gov\/innovation-models\/medicare-diabetes-prevention-program)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/mdpp-2ndannevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"286"},{"Title":"Next Generation Accountable Care Organization Model - Fifth Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/nextgenaco-fifthevalrpt","Month of Publication":"November","Year of publication":"2022","Abstract":"In its fifth performance year (2020), the NGACO Model significantly reduced Parts A \u0026 B spending but increased net spending, continuing the pattern observed in earlier years. The increase in net spending reflected several factors, including drop out by NGACOs with shared losses in PY4, continuation of NGACOs with shared savings in PY4, and model flexibilities to mitigate risks to NGACOs due to the COVID-19 PHE. NGACOs reported being well-prepared to address the PHE with resources and processes developed through participation in the Model. ","Keywords":"Next Generation Accountable Care Organization (ACO) Model, Medicare Shared Savings Program (MSSP), Next Generation ACO Model, accountable care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/nextgenaco-fg-fifthevalrpt)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/nextgenaco-fifthevalrpt-techapp)","Related Content 3":"Next Generation ACO model (https:\/\/innovation.cms.gov\/innovation-models\/next-generation-aco-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/nextgenaco-fg-fifthevalrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"287"},{"Title":"Vermont All-Payer ACO Model (VTAPM) - Second Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/vtapm-2nd-eval-full-report","Month of Publication":"January","Year of publication":"2023","Abstract":"We continued to observe net Medicare spending reductions cumulatively across the model performance years (2018-2020 in the current report) at both accountable care organization (ACO) and state levels, but only statistically significant at state level. The cumulative net spending reductions appear to be driven primarily by decreases in hospitalizations, including unplanned readmissions, relative to the comparison group. For performance year 2020, we observed net Medicare spending reductions and decreases in hospitalizations. However, the performance year 2020 impacts were smaller than those observed in performance year 2019 and not statistically significant.","Keywords":"Accountable Care Organization (ACO), All-Payer, State-Based Care, Innovation, Health Care Equity","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/vtapm-2nd-eval-report-aag)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/vtapm-2nd-eval-report-app)","Related Content 3":"Vermont All-Payer ACO Model (VTAPM) (https:\/\/innovation.cms.gov\/innovation-models\/vermont-all-payer-aco-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/vtapm-2nd-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"288"},{"Title":"Primary Care First Model Options - First Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/pcf-first-eval-rpt","Month of Publication":"December","Year of publication":"2022","Abstract":"In the first year of PCF, cohort 1 practices entered the model with advanced primary care capabilities and used their PCF payments to add staff and build on existing capabilities to improve how they deliver care, focusing on enhanced care management strategies such as better follow up after a hospital discharge.","Keywords":"Primary care, seriously ill populations (SIP), chronic health needs, improved outcomes, clinician-patient relationship, health equity, quality of care","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/pcf-first-eval-aag-rpt)","Related Content 2":"Primary Care First Model Options (https:\/\/innovation.cms.gov\/innovation-models\/primary-care-first-model-options)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/pcf-first-eval-aag-rpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"289"},{"Title":"White Paper - Dementia Care Projects: Synthesis of Evaluation Results 1989 - 2020","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/dementia-care-synthesis-1989-2020","Month of Publication":"December","Year of publication":"2022","Abstract":"These five dementia care projects improved beneficiaries\u00c3\u00ad and caregivers\u00c3\u00ad experience of care and quality of life, but did not result in significant Medicare savings. Broader use of dementia care services and longer follow-up periods may improve outcomes (e.g., Medicare spending, hospitalization) that showed non-significant reductions in this analysis.","Keywords":"Dementia, end-of-life, evaluation, results, fee-for-service, Medicare Parts A and B, disease progression, Alzheimer\u00c3\u00ads","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/dementia-care-synthesis-1989-2020-aag)","Related Content 2":"Health Care Innovation Awards (HCIA)  |  (https:\/\/innovation.cms.gov\/innovation-models\/health-care-innovation-awards)","Related Content 3":"Health Care Innovation Awards (HCIA) Round Two (https:\/\/innovation.cms.gov\/innovation-models\/health-care-innovation-awards\/round-2)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/dementia-care-synthesis-1989-2020-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"290"},{"Title":"White Paper - Palliative Care Projects: Synthesis of Evaluation Results 2012 - 2021","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/palliative-care-synthesis-2012-2021","Month of Publication":"December","Year of publication":"2022","Abstract":"These four palliative care projects improved beneficiaries\u00c3\u00ad and caregivers\u00c3\u00ad experience of care and quality of life, but model uptake was low and cost and service use impacts were mixed. The findings demonstrate that a comprehensive approach to palliative support can improve beneficiary care when appropriately adapted to the target population and setting.","Keywords":"palliative care, serious illness, fee-for-service, Medicare Parts A and B, caregivers","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/palliative-care-synthesis-2012-2021-aag)","Related Content 2":"Medicare Care Choices Model (MCCM) |  (https:\/\/innovation.cms.gov\/innovation-models\/medicare-care-choices)","Related Content 3":"Health Care Innovation Awards (HCIA)  |  (https:\/\/innovation.cms.gov\/innovation-models\/health-care-innovation-awards)","Related Content 4":"Health Care Innovation Awards (HCIA) |  Round Two (https:\/\/innovation.cms.gov\/innovation-models\/health-care-innovation-awards\/round-2)","Related Content 5":"Medicare Health Care Quality Demonstration (https:\/\/innovation.cms.gov\/innovation-models\/medicare-health-care-quality)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/palliative-care-synthesis-2012-2021-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"291"},{"Title":"CMS Innovation Center - Sixth Report to Congress (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/rtc-2022","Month of Publication":"December","Year of publication":"2022","Abstract":"The CMS Innovation Center has released its sixth Report to Congress, representing activities from October 1, 2020 through September 30, 2022. The CMS Innovation Center is required by statute to report to Congress on its activities, at minimum, every other year. During the period of report, the CMS Innovation Center launched or continued 33 payment and service delivery models authorized under section 1115A authority. The CMS Innovation Center\u0027s portfolio of models and initiatives focused on improving the quality of care while reducing program expenditures, and had participation from health care providers, states, payers, and other stakeholders in all 50 states, the District of Columbia, Puerto Rico, and US Territories. In addition, the CMS Innovation Center conducted six congressionally-mandated or authorized demonstration projects. The CMS Innovation Center also continued to play a central role in the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).","Keywords":"CMS Innovation Center - Sixth Report to Congress, RTC, Center for Medicare and Medicaid Innovation, 2022, Medicare, Medicaid, MACRA, Childrens Health Insurance Program, CHIP, models, initiatives, programs, demonstrations, Section 1115A, Affordable Care Act","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"292"},{"Title":"Maryland Total Cost of Care Quantitative-Only Report for the Model\u0027s First Three Years","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2022\/md-tcoc-qor2","Month of Publication":"December","Year of publication":"2022","Abstract":"The MD TCOC Model tests whether state accountability and provider incentives can improve care and population health for all Marylanders while reducing Medicare expenditures. The model had favorable effects on service use, spending and quality in its first three years, due to growing effects of hospital global budgets started under Maryland All-Payer Model, new components added in the MD TCOC Model, or synergies between them.","Keywords":"Maryland, Medicare, poulation health, care transformation","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/md-tcoc-qor2-aag)","Related Content 2":"Maryland Total Cost of Care Model (https:\/\/innovation.cms.gov\/innovation-models\/md-tccm)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2022\/md-tcoc-qor2-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"293"},{"Title":"Rural Community Hospital Demonstration - Second Interim Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/rchd-2nd-interim-report","Month of Publication":"January","Year of publication":"2023","Abstract":"Results from the RCHD Second Interim Report showed that the demonstration continues to provided higher Medicare payments for covered inpatient hospital services. During the 2016-2018 period, participating hospitals new to the demonstration had their Medicare financial viability improved, with large improvements in Medicare margins, but the gains were not large enough to impact their total profit margins. For continuing RCHD hospitals, the financial improvements experienced during earlier demonstration participation were maintained but there was no evidence of any additional gains.","Keywords":"Rural Community Hospital Demonstration, Second Interim Report, Initiatives to Accelerate the Development and Testing of New Payment and Service Delivery Models, rural, hospital, Medicare, hospital finances","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/rchd-2nd-interim-report-aag)","Related Content 2":"Rural Community Hospital Demonstration (https:\/\/innovation.cms.gov\/innovation-models\/rural-community-hospital)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/rchd-2nd-interim-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"294"},{"Title":"Independence at Home Demonstration - Year Seven Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/iah-year7-eval-report","Month of Publication":"January","Year of publication":"2023","Abstract":"The Independence at Home (IAH) Demonstration was launched in 2012 through Section 3024 of the Patient Protection and Affordable Care Act. Under the demonstration, physician- and nurse-led teams provide primary care services in the homes of beneficiaries with chronic illness and functional limitations. IAH practices receive a payment incentive if they generate savings above an established threshold and meet quality-of-care targets. This evaluation report covers the first seven years of the demonstration and examines the IAH incentive payment\u2019s effects on spending, utilization, and quality during 2020, the first year of the COVID-19 pandemic.","Keywords":"Independence at Home Demonstration, Independence at Home Demonstration - Year Seven Evaluation Report, IAH, primary care, chronic illness, home-based primary care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/iah-year7-eval-report-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/iah-year7-eval-report-app)","Related Content 3":"Independence at Home Demonstration  (https:\/\/innovation.cms.gov\/innovation-models\/independence-at-home)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/iah-year7-eval-report-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"295"},{"Title":"A Report in Response to the Executive Order on Lowering Prescription Drug Costs for Americans","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/eo-rx-drug-cost-response-report","Month of Publication":"February","Year of publication":"2023","Abstract":"The Centers for Medicare \u0026 Medicaid Services (CMS) announced that the Secretary of the Department of Health and Human Services (HHS) has selected three new models for testing by the CMS Innovation Center to help lower the high cost of drugs, promote accessibility to life-changing drug therapies, and improve quality of care. The Secretary released a report describing these three models to respond to President Biden\u2019s Executive Order 14087, \u201cLowering Prescription Drug Costs for Americans,\u201d which complements the historic provisions in the Inflation Reduction Act of 2022 that will lower prescription drug costs.","Keywords":"Executive Order 14087, lower prescription drug pricing, Medicare Part D, high drug prices, healthcare affordability","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"Frequently Asked Questions (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/eo-rx-drug-cost-response-report-faqs)","Related Content 4":"CMS Innovation Center\u2019s One-Year Update on the Executive Order (https:\/\/www.cms.gov\/blog\/cms-innovation-centers-one-year-update-executive-order-lower-prescription-drug-costs-americans)","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"Executive Summary (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/eo-rx-drug-cost-response-report-summary)","Perspective Report":"TRUE","ID":"296"},{"Title":"Evaluation of the Part D Enhanced Medication Therapy Management (MTM) Model: Fifth Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/mtm-fifth-evalrept","Month of Publication":"February","Year of publication":"2023","Abstract":"This Final Evaluation Report on the Part D Enhanced Medication Therapy Management (MTM) Model details the lessons learned over its 5 years of implementation (2017 \u2013 2021).  The evaluation found no statistically significant impacts on Medicare Parts A and B expenditures for the overall enrollee population.  Beneficiaries, sponsors and industry stakeholders described their perspectives on what they valued from the Model.  They expressed support for the Model\u2019s flexibilities and described how it facilitated a patient-centered approach to delivering MTM services. Despite a lack of impacts, lessons learned from the implementation of the Enhanced MTM Model can support future efforts by sponsors, stakeholders, and policymakers to improve the provision of MTM in Medicare Part D.","Keywords":"Part D Enhanced Medication Therapy Management (MTM) Model - Fifrth Evaluation Report, MTM Model, Medicare Part A, Medicare Part B, medication use","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/mtm-fifth-evalrept-fg)","Related Content 2":"Appendix A (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/mtm-fifth-evalrept-app)","Related Content 3":"Appendix B (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/mtm-fifth-evalrept-app-b)","Related Content 4":"Part D Enhanced Medication Therapy Management Model (https:\/\/innovation.cms.gov\/innovation-models\/enhancedmtm)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/mtm-fifth-evalrept-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"297"},{"Title":"Skilled Nursing Facility 3-day Waiver: Analysis of Use in ACOs 2014 to 2019","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/snf-waiver-summary","Month of Publication":"February","Year of publication":"2023","Abstract":"The analysis shows trends and outcomes associated with the SNF 3-day waiver in ACOs between 2014 and 2019. The SNF waiver allows providers to admit a beneficiary to a SNF directly from the community or after only 1-2 days in a hospital, rather than after at least 3 days in the hospital under Medicare program payment rules. SNF waiver stays comprised 3-5 percent of all SNF stays in ACOs, and most of them were direct SNF admissions. By 2019, beneficiaries admitted under the SNF waiver had on average a shorter length of stay, a higher discharge rate home, and lower rates of adverse outcomes relative to other beneficiaries with SNF stays not under the waiver.","Keywords":" Skilled Nursing Facility (SNF) 3-day Waiver, Final Evaluation Report, accountable care organizations, Pioneer ACO Model, Next Generation ACO Model, Vermont ACO Model","Type":"Reports","Related Content":"Pioneer ACO Model (https:\/\/innovation.cms.gov\/innovation-models\/pioneer-aco-model)","Related Content 2":"Next Generation ACO Model (https:\/\/innovation.cms.gov\/innovation-models\/next-generation-aco-model)","Related Content 3":"Vermont All-Payer ACO Model (https:\/\/innovation.cms.gov\/innovation-models\/vermont-all-payer-aco-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"298"},{"Title":"BPCI Advanced Fourth Annual Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/bpci-adv-ar4","Month of Publication":"March","Year of publication":"2023","Abstract":"Hospitals and physician group practices (PGPs) participating in the BPCI Advanced Model continued to reduce episode payments in 2020 (Model Year 3) through reductions in post-acute care use. BPCI Advanced continued to achieve net savings for Medicare from surgical clinical episodes which were offset by losses from medical clinical episodes. To bolster the model\u2019s ability to achieve savings, CMS made substantial changes to the target pricing methodology starting in 2021 and required participants to select among groups of clinical episodes rather than individual clinical episodes. Early payment reconciliation data indicate a potentially favorable financial outcome for Medicare in 2021 (Mode Year 4). Future evaluation reports will formally estimate savings under the model after these changes took effect. In 2020, there was some improvement in quality for PGP medical clinical episodes as seen in the small reductions in unplanned readmission and mortality rates. In 2021, BPCI Advanced survey respondents generally reported mixed or slightly unfavorable results for functional status and care experience. ","Keywords":"Bundled Payments for Care Improvement Advanced Initiative, BPCI-Advanced, evaluation, Fourth Annual Report","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/bpci-adv-ar4-findings-aag)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/bpci-adv-ar4-appendices)","Related Content 3":"BPCI Advanced  (https:\/\/innovation.cms.gov\/innovation-models\/bpci-advanced)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/bpci-adv-ar4-findings-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"299"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees California Cal MediConnect: Preliminary Third Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-ca-3rd-eval-report","Month of Publication":"April","Year of publication":"2023","Abstract":"This Preliminary Third Evaluation Report for the California demonstration describes implementation of the Cal MediConnect demonstration and analysis of the demonstration\u2019s impact. The report includes findings from qualitative data through calendar year 2021 and Medicare cost savings analyses through calendar year 2019. Overall, beneficiary satisfaction with the demonstration has remained high, and cumulative Medicare A\u0026B costs increased over the course of the demonstration, relative to a comparison group.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees California Cal MediConnect: Preliminary Third Evaluation Report, Medicare-Medicaid dual enrollees, dually eligible, Medicare, Medicaid","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-ca-3rd-eval-report-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-ca-3rd-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"300"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Illinois Medicare-Medicaid Alignment Initiative: Third Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-il-3rd-eval-report","Month of Publication":"April","Year of publication":"2023","Abstract":"This evaluation report includes findings from qualitative data for calendar years 2020 and 2021 with key implementation updates planned for 2022 as well as Medicare and Medicaid cost savings analyses through calendar year 2019.  Enrollment in MMAI grew by more than 50 percent during 2020-2021, and beneficiary satisfaction remained high in 2021.  Physician E\u0026M visits increased relative to the comparison group, a favorable finding, while inpatient admissions, ED visits, and long-stay nursing facility use also increased.  Overall, the demonstration was associated with an increase in cumulative Medicare A\u0026B expenditures in the first five years of the demonstration.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Illinois Medicare-Medicaid Alignment Initiative: Third Evaluation Report, Medicare-Medicaid dual enrollees, dually eligible, Medicare, Medicaid","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-il-3rd-eval-report-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-il-3rd-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"301"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Massachusetts One Care: Preliminary Fifth Evaluation Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-ma-5th-eval-report","Month of Publication":"April","Year of publication":"2023","Abstract":"This evaluation report includes findings from qualitative data for calendar years 2019-2021 with key updates through early 2022 and it includes quantitative analysis results for October 2013 through December 2019.  During the first six years, the demonstration was associated with an increase in the likelihood of inpatient admissions and readmissions (unfavorable findings); however, the likelihood of long-stay nursing facility use decreased and the number of evaluation and management visits increased (favorable findings).  The demonstration was associated with an increase in cumulative Medicare and Medicaid costs over the first six years of the demonstration.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Massachusetts One Care: Preliminary Fifth Evaluation Report, Medicare-Medicaid dual enrollees, dually eligible, Medicare, Medicaid","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-ma-5th-eval-report-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-ma-5th-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"302"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Integrated Appeals and Grievances Demonstration: Second Brief Report","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-ny-iag-2nd-brief-report","Month of Publication":"April","Year of publication":"2023","Abstract":"This second brief report covers the second demonstration year, January 1, 2021 through December 31, 2021. This brief report includes findings from interviews conducted in spring 2022 with beneficiary advocates, plans, CMS, and New York State officials. Beneficiary advocates, plans, and the State favorably viewed the demonstration, but the State experienced some implementation challenges as it widened the scope of the integrated process.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Integrated Appeals and Grievances Demonstration: Second Brief Report, Medicare-Medicaid dual enrollees, dually eligible, Medicare, Medicaid","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"303"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Final Demonstration Year 6 and Preliminary Demonstration Year 7 Medicare Savings Estimates","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/fai-wa-dy7-prelim-savings-report","Month of Publication":"April","Year of publication":"2023","Abstract":"The findings from this actuarial report are based on an actuarial analysis to estimate Medicare savings based on a comparison of the trend of per member per month (PMPM) Medicare expenditures of the Washington demonstration group with the trend of the PMPM of a matched comparison group.  Results show a gross reduction in Medicare A\u0026B expenditures for Demonstration Year 6 and preliminarily for Demonstration Year 7.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Final Demonstration Year 6 and Preliminary Demonstration Year 7 Medicare Savings Estimates, Medicare-Medicaid dual enrollees, dually eligible, Medicare, Medicaid","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"304"},{"Title":"Accountable Health Communities Model - Second Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/ahc-second-eval-rpt","Month of Publication":"May","Year of publication":"2023","Abstract":"In the first 3 years of the model (2018-2021), navigation alone did not increase beneficiaries\u2019 connection to community services or HRSN resolution. Although the model has had no impact on HRSN resolution, navigation still may be influencing beneficiary behavior, resulting in reduced ED visits.","Keywords":"Accountable Health Communities Model - Second Evaluation Report, Accountable Health Communities Model, AHC, Medicare, Medicaid, social needs, health-related social needs, bridge organizations","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/ahc-second-eval-rpt-fg)","Related Content 2":"Accountable Health Communities Model (https:\/\/innovation.cms.gov\/innovation-models\/ahcm)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/ahc-second-eval-rpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"305"},{"Title":"Home Health Value-Based Purchasing Model - Sixth Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/hhvbp-sixth-ann-rpt","Month of Publication":"May","Year of publication":"2023","Abstract":"Evaluation results show improvements in OASIS quality measures and reduction in Medicare expenditures. The original HHVBP Model tests if financial incentives to home health agencies drive improvements in quality of care across nine states.","Keywords":"Home Health Value-Based Purchasing Model, HHVBP Model, Medicare, home health","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/hhvbp-sixth-ann-rpt-fg)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/hhvbp-sixth-ann-rpt-app)","Related Content 3":"Home Health Value-Based Purchasing Model (https:\/\/innovation.cms.gov\/innovation-models\/home-health-value-based-purchasing-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/hhvbp-sixth-ann-rpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"306"},{"Title":"Maternal Opioid Misuse (MOM) Model - Second Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/mom-scnd-ann-eval-rpt","Month of Publication":"May","Year of publication":"2023","Abstract":"The Maternal Opioid Misuse (MOM) Model provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Eight state Medicaid agencies participated in the first year of patient enrollment, engaging patients through care delivery partners. Successful strategies to reach beneficiaries included engaging with community partners, designing communication campaigns, incorporating best care practices, integrating peer recovery specialists, strengthening data sharing infrastructures and expanding provider training and education. Program challenges included low enrollment, staff shortages, data sharing across providers and implementing new Medicaid billing. Ongoing patient barriers to care included stigma related to substance use disorders, co-occurring mental and behavioral health conditions, transportation and childcare, and limited access to social services. Programs have developed training and community partnerships to try to address these issues.","Keywords":"","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/mom-impyr1-eval-aag)","Related Content 2":"","Related Content 3":"","Related Content 4":"Maternal Opioid Misuse (MOM) Model (https:\/\/innovation.cms.gov\/innovation-models\/maternal-opioid-misuse-model)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/mom-impyr1-eval-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"307"},{"Title":"Comprehensive Care for Joint Replacement Model - Fifth Annual Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/cjr-py5-annual-report","Month of Publication":"May","Year of publication":"2023","Abstract":"The CJR model continues to be a promising approach for reducing episode payments, while maintaining the quality of care.  Hospitals used a multifaceted approach across the entire episode of care to reduce institutional post - acute care and discharge more patients directly home. Mandatory CJR hospitals consistently generated net savings until 2020 when smaller payment reductions and larger payments from CMS to provide hospitals relief during the pandemic offset cumulative savings and resulted in losses.","Keywords":"Comprehensive Care for Joint Replacement Model - Fifth Annual Report, Comprehensive Care for Joint Replacement Model, CJR Model, joint replacement, mandatory model, bundled payments, episode-based payments, LEJR, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/cjr-py5-ar-findings-aag)","Related Content 2":"","Related Content 3":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/cjr-py5-ar-app)","Related Content 4":"Transformation Spotlight: Care Transformation Insights from Comprehensive Care for Joint Replacement Model (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/cjr-py5-ar-transf-findings-aag)","Related Content 5":"Comprehensive Care for Joint Replacement Model  (https:\/\/innovation.cms.gov\/innovation-models\/cjr)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/cjr-py5-ar-findings-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/cjr-py5-ar-exec-sum)","Perspective Report":"TRUE","ID":"308"},{"Title":"Oncology Care Model - Performance Periods 1-9 (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/ocm-evaluation-pp1-9","Month of Publication":"May","Year of publication":"2023","Abstract":"The Oncology Care Model (OCM) covered 1 in 4 Medicare FFS beneficiaries receiving chemotherapy. OCM reductions in total episode payments increased starting in late 2019, primarily through improved use of high-value supportive care drugs among higher-risk cancer types. OCM resulted in substantial person-centered practice transformation, with many examples of beneficial spill-over to non-Medicare patients. Practice-reported measures of quality improved, but this did not translate to improved patient-reported or claims-based measures of quality.","Keywords":"","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/ocm-evaluation-pp1-9-fg)","Related Content 2":"","Related Content 3":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/ocm-evaluation-pp1-9-app)","Related Content 4":"Transformation Spotlight: Care Transformation Insights from Oncology Care Model (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/ocm-evaluation-pp1-9-transf-ins)","Related Content 5":"Oncology Care Model  (https:\/\/innovation.cms.gov\/innovation-models\/oncology-care","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/ocm-evaluation-pp1-9-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/ocm-evaluation-pp1-9-exec-sum)","Perspective Report":"TRUE","ID":"309"},{"Title":"White Paper - Assessing Equity to Drive Health Care Improvements: Learnings from the CMS Innovation Center","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/assessing-equity-hc-improv-wp","Month of Publication":"July","Year of publication":"2023","Abstract":"The Innovation Center\u2019s diverse portfolio ranges across populations, demographic subgroups, health care delivery systems, payment structures, and health conditions.  In its 2021 strategy refresh, the Innovation Center prioritized health equity in all of its operations. To support this goal, we conducted a retrospective analysis of model evaluations to determine the reach of Innovation Center models and assess the degree of and impact of health equity incorporation in model designs and evaluations. Our review yields three primary insights: 1) The variable quality of race\/ethnicity data in Medicare and Medicaid claims data presents a challenge for understanding whether models reach and enroll underserved individuals; 2) Model designs have not always considered needs specific to underserved individuals; and, 3) Model designs that do not prioritize the inclusion of underserved individuals may have small sample sizes for these populations that limits the ability to draw conclusions. Despite these challenges, progress continues in our ability to identify underserved beneficiaries, appropriately incentivize and reach subpopulations most in need of services, and draw conclusions based on the impacts of models on particular populations.","Keywords":"health equity, race, ehtnicity, underserved individuals, Medicare, Medicaid, CMS Innovation Center","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"310"},{"Title":"End-Stage Renal Disease Treatment Choices (ETC) Model 1st Annual Evaluation Report and Appendices ","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/etc-1st-eval-report-app","Month of Publication":"July","Year of publication":"2023","Abstract":"Through the End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC), CMS uses payment adjustments to ESRD Facilities and Managing Clinicians to increase rates of home dialysis, transplant waitlisting, and living donor transplantation. In 2021, the ETC model increased home dialysis training, but home dialysis rates were unchanged. Transplant waitlisting also increased. Overall transplantation increased, led by an increase in deceased donor transplantation, but living donor transplantation rates were unchanged. ","Keywords":"End-Stage Renal Disease, ESRD, quality, payment system, Medicare, bundled payments","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/etc-1st-eval-report-aag)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/etc-1st-eval-report-app#page=55)","Related Content 3":"ESRD Treatment Choices (ETC) Model  (https:\/\/innovation.cms.gov\/innovation-models\/esrd-treatment-choices-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/etc-1st-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"311"},{"Title":"Vermont All-Payer ACO Model (VTAPM) - Third Evaluation Report (PDF)","Author":"","URL":"https:\/\/innovation.cms.gov\/data-and-reports\/2023\/vtapm-3rd-eval-full-report","Month of Publication":"July","Year of publication":"2023","Abstract":"The VTAPM achieved statistically significant cumulative gross and net Medicare spending reductions over the first four performance years (2018-2021) at both the state and ACO levels.  Spending reductions appear to be driven largely by declines in acute care utilization, particularly for Vermont Medicare beneficiaries statewide. Similar to previous years, we continue to see sharp declines in specialist E\u0026M visits, potentially due to ongoing specialist shortages in the state. There is agreement across stakeholders that the model has provided an organizing framework for collaboration, but there continues to be a lack of understanding and consistent expectations around the ACOs role and hesitancy to engage in the Medicare ACO initiative by CAHs.","Keywords":"Vermont All-Payer ACO Model (VTAPM) - Third Evaluation Report, Vermont All-Payer ACO Model (VTAPM), Medicare, accountable care organization, ACO, Medicaid","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/vtapm-3rd-eval-report-aag)","Related Content 2":"Appendix (PDF)  |  (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/vtapm-3rd-eval-report-app)","Related Content 3":"","Related Content 4":"","Related Content 5":"Vermont All-Payer ACO Model (https:\/\/innovation.cms.gov\/innovation-models\/vermont-all-payer-aco-model)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2023\/vtapm-3rd-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"312"},{"Title":"Home Health Value-Based Purchasing Model - Seventh Annual Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/hhvbp-seventh-ann-rpt","Month of Publication":"September","Year of publication":"2023","Abstract":"This is the final summative report on the original HHVBP Model which tested if financial incentives to home health agencies drive improvements in quality of care across nine states. Over six years of the Model, we saw improvements in care quality which led to a national expansion of the Model. ","Keywords":"Home Health Value-Based Purchasing Model, HHVBP Model, Medicare, home health","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/hhvbp-seventh-ann-rpt-fg)","Related Content 2":"Appendix (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/hhvbp-seventh-ann-rpt-app)","Related Content 3":"Home Health Value-Based Purchasing Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/home-health-value-based-purchasing-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/hhvbp-seventh-ann-rpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"313"},{"Title":"Pennsylvania Rural Health Model (PARHM) Third Annual Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/parhm-ar3","Month of Publication":"September","Year of publication":"2023","Abstract":"This 3rd evaluation report covers the implementation experience and descriptive results for the 18 participant rural hospitals and stakeholders, including payers in the Pennsylvania Rural Health Model (PARHM). To date, in PARHM we have seen utilization of inpatient hospital services decline while utilization of outpatient hospital services increase. For the third performance year, there was an increased focus on community engagement as part of the hospital transformation under the model. The increased focus on community engagement helped participating hospitals to better meet the social needs of their communities.","Keywords":"Rural health, Pennsylvania, Affordable Care Act (ACA), Innovation Models, Health Equity","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/parhm-ar3-aag)","Related Content 2":"Appendix (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/parhm-ar3-app)","Related Content 3":"Pennsylvania Rural Health Model (https:\/\/innovation.cms.gov\/innovation-models\/pa-rural-health-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/parhm-ar3-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"314"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Integrated Appeals and Grievances Demonstration Third Brief Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-ny-fida-idd-prelim-thirdevalrpt","Month of Publication":"October","Year of publication":"2023","Abstract":"Under the New York Fully Integrated Duals Advantage for Individuals with Intellectual and Developmental Disabilities demonstration, New York and CMS contracted with a Medicare-Medicaid Plan to develop an integrated system of care to provide Medicare-Medicaid enrollees with intellectual and\/or developmental disabilities with person-centered care, promote independence in the community, and improve care coordination. Estimates show no significant impact over the first four demonstration years on Medicare expenditures and no significant impact on Medicaid total costs of care in the demonstration group relative to the comparison group","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Integrated Appeals and Grievances Demonstration: Third Brief Report, Medicare-Medicaid dual enrollees, dually eligible, Medicare, Medicaid","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-ny-fida-idd-prelim-thirdevalrpt-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-ny-fida-idd-prelim-thirdevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"315"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Final Demonstration Year 7 and Preliminary Demonstration Year 8 Medicare Savings Estimates (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-wa-dy7-prelimdy8-savings-report","Month of Publication":"October","Year of publication":"2023","Abstract":"The findings from this actuarial report are based on an actuarial analysis to estimate Medicare savings based on a comparison of the trend of per member per month (PMPM) Medicare expenditures of the Washington demonstration group with the trend of the PMPM of a matched comparison group. Results show a gross reduction in Medicare A\u0026B expenditures for Demonstration Year 7 and preliminarily for Demonstration Year 8.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Washington Final Demonstration Year 7 and Preliminary Demonstration Year 8 Medicare Savings Estimates, Medicare-Medicaid dual enrollees, dually eligible, Medicare, Medicaid","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"316"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees MyCare Ohio Third Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-oh-thirdevalrpt","Month of Publication":"October","Year of publication":"2023","Abstract":"Under MyCare Ohio, Ohio and CMS contracted with Medicare-Medicaid Plans to develop person-centered care delivery models integrating the full range of medical, behavioral health, and long-term services and supports for Medicare-Medicaid enrollees. Estimates show cumulative increases in Medicare expenditures in the demonstration group relative to the comparison group over the first six demonstration years. Probability of inpatient admissions decreased, probability of any long-stay nursing facility use decreased, and probability of 30-day follow-up after mental health discharge increased, all favorable findings. Probability of an emergency department (ED) visit and preventable ED visits increased over the first six demonstration years.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollee, MyCare Ohio Third Evaluation Report, Medicare Savings Estimates, Medicare-Medicaid dual enrollees, dually eligible, Medicare, Medicaid","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-oh-thirdevalrpt-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-oh-thirdevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"317"},{"Title":"Medicare Advantage Value-Based Insurance Design Model  -  Year Two Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/vbid-2nd-eval-report","Month of Publication":"October","Year of publication":"2023","Abstract":"Participation in the VBID model test has increased substantially since Phase II of the model test began, with an increasing focus in VBID General on socioeconomic status targeting, supplemental benefits, and Part D cost-sharing reductions. VBID General is associated with increases in beneficiary adherence, risk scores, and inpatient stays in 2020; Star Ratings and costs to CMS in 2021; and premiums in 2021 and 2022. VBID Hospice participation is growing, but uptake of model services continued to be low in 2022.","Keywords":"Medicare Advantage Value-Based Insurance Design Model, MA VBID, Parent Organizations (POs), states, COPD, CHF, diabetes, and hypertension, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/cms.gov\/priorities\/innovation\/data-and-reports\/2023\/vbid-2nd-eval-report-general-aag)","Related Content 2":"Hospice Findings-At-a-Glance (PDF)   |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/vbid-2nd-eval-report-hospice-aag)","Related Content 3":"Appendices (PDF)   |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/vbid-2nd-eval-report-app)","Related Content 4":"Medicare Advantage Value-Based Insurance Design Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/vbid)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/vbid-2nd-eval-report-general-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"318"},{"Title":"Million Hearts: Cardiovascular Disease Risk Reduction Model - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/mhcvdrrm-finalannevalrpt","Month of Publication":"October","Year of publication":"2023","Abstract":"This fifth and final evaluation report describes the model\u2019s implementation and includes estimates of its impact on heart attacks, strokes, survival, and spending. In a large randomized trial, the Million Hearts Model improved CVD preventive care and reduced heart attacks and strokes but did not measurably change Medicare FFS spending. Over five years, the model reduced the incidence of first-time heart attacks and strokes by 3 to 4 percent. Observed effects followed improvements in CVD preventive care, as evidenced by providers\u2019 increased use of CVD risk assessment and beneficaries\u2019 increased used of recommended CVD-related medications. The reduction in heart attacks and strokes was accompanied by a 4 percent relative reduction in all-cause mortality.","Keywords":"Million Hearts: Cardiovascular Disease Risk Reduction Model - Final Evaluation Report, Million Hearts: Cardiovascular Disease Risk Reduction Model, heart attacks, strokes, Medicare, cardiovascular, CVD, prevention","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/mhcvdrrm-finalannevalrpt-fg)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"Million Hearts: Cardiovascular Disease Risk Reduction Model (https:\/\/innovation.cms.gov\/innovation-models\/million-hearts-cvdrrm)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/mhcvdrrm-finalannevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"319"},{"Title":"Global and Professional Direct Contracting Model First Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/gpdc-1st-ann-report","Month of Publication":"October","Year of publication":"2023","Abstract":"Direct Contracting Entities (DCEs) focused on reducing avoidable utilization, managing population care, and improving primary care in GPDC\u2019s first performance year (2021). GPDC did not impact gross or net Medicare spending in 2021 and had limited impacts on quality measures.","Keywords":"Direct Contracting, DCE\u0027s, beneficiaries, providers, first annual evaluation report, quality and financial results","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/gpdc-1st-ann-report-aag)","Related Content 2":"Appendices (PDF)   |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/gpdc-1st-ann-report-app)","Related Content 3":"DCE-Level Quarterly Finance and Quality Results  |  (https:\/\/www.cms.gov\/files\/document\/gpdc-py2022-financial-results.xlsx)","Related Content 4":"Global and Professional Direct Contracting Model  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/gpdc-model)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/gpdc-1st-ann-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"320"},{"Title":"Evaluation of the Medicare Care Choices Model - Fifth and Final Annual Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/mccm-fifth-annrpt","Month of Publication":"November","Year of publication":"2023","Abstract":"By providing high-quality supportive services and increasing use of Medicare\u2019s hospice benefit, participating hospices achieved MCCM\u2019s goals of improving enrollees\u2019 quality of life and care, attaining high satisfaction, and reducing Medicare expenditures and acute care service use. MCCM\u2019s effects were widespread, although larger for certain beneficiary subgroups. Low model uptake and low market penetration limited generalizability of these results.","Keywords":"","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/mccm-fg-fifthannrpt)","Related Content 2":"Medicare Care Choices Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/medicare-Care-Choices)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/mccm-fg-fifthannrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"321"},{"Title":"Comprehensive Primary Care Plus (CPC+) Final Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/cpc-plus-fifth-annual-eval-report","Month of Publication":"December","Year of publication":"2023","Abstract":"CPC+ practices made meaningful changes to care delivery, which drove favorable impacts on hospitalization and emergency department visits. These effects translated to reductions in some expenditure categories such as acute inpatient expenditures, but they were generally offset by increases in other expenditure types such as physician services and hospice, leading to increases in overall costs, once enhanced payments are included. CPC+ had small, mixed effects on patient experience and claims-based quality.","Keywords":"Comprehensive Primary Care (CPC+) Plus Model - Fifth Annual Report, CPC Plus, primary care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/cpc-plus-fg-fifth-annual-eval-report)","Related Content 2":"Appendix Volume 1 (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/cpc-plus-fifth-annual-eval-report-appvol1)","Related Content 3":"Appendix Volume 2 (PDF)  | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/cpc-plus-fifth-annual-eval-report-appvol2)","Related Content 4":"Comprehensive Primary Care Plus (https:\/\/innovation.cms.gov\/innovation-models\/comprehensive-primary-care-plus)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/cpc-plus-fg-fifth-annual-eval-report)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"322"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Texas Dual Eligible Integrated Care Demonstration: Preliminary Third Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-tx-thirdprelimevalrpt","Month of Publication":"December","Year of publication":"2023","Abstract":"Under the Texas Dual Eligible Integrated Care Demonstration, Texas and CMS contracted with Medicare-Medicaid Plans to provide integrated benefits for Medicare-Medicaid enrollees. Estimates show no impact on either Medicare expenditures or Medicaid total costs of care in the demonstration group relative to the comparison group over the first five demonstration years. Probability of any skilled nursing facility admission and probability of any long-stay nursing facility use decreased, both favorable findings. Probability of an emergency department (ED) visit, number of preventable ED visits, and number of all-cause 30-day readmissions increased over the first five demonstration years.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-tx-thirdprelimevalrpt-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-tx-thirdprelimevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"323"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Integrated Appeals and Grievances Demonstration: Third Brief Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-ny-iag-3nd-brief-report","Month of Publication":"December","Year of publication":"2023","Abstract":"This third brief report covers the third demonstration year, January 1, 2022 through December 31, 2022. This brief report includes findings from interviews conducted in spring 2023 with beneficiary advocates, plans, CMS, and New York State officials. Beneficiary advocates, plans, and the State continue to view the demonstration as providing a key beneficiary protection. The state reported progress in reducing the backlog of cases awaiting hearing, though plans continue to report that hearing postponements were common.   ","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees New York Integrated Appeals and Grievances Demonstration:  Third Brief Report, Medicare-Medicaid dual enrollees, dually eligible, Medicare, Medicaid","Type":"Reports","Related Content":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"324"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees Rhode Island Integrated Care: Third Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-ri-thirdevalrpt","Month of Publication":"December","Year of publication":"2023","Abstract":"Under the Rhode Island Integrated Care Initiative, Rhode Island and CMS contracted with a Medicare-Medicaid Plan to develop an integrated system of care and provide Medicare-Medicaid enrollees with person-centered care to improve quality of life. Estimates show a cumulative increase over the first four demonstration years in Medicare expenditures in the demonstration group relative to the comparison group. The number of physician evaluation and management visits increased \u2013 a favorable finding.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-ri-thirdevalrpt-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-ri-thirdevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"325"},{"Title":"Financial Alignment Initiative for Medicare-Medicaid Enrollees South Carolina Healthy Connections Prime: Third Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-sc-thirdevalrpt","Month of Publication":"December","Year of publication":"2023","Abstract":"Under South Carolina Healthy Connections Prime, South Carolina and CMS contracted with Medicare-Medicaid Plans to develop person-centered care delivery models integrating the full range of medical, behavioral health, and long-term services and supports for Medicare-Medicaid enrollees. Estimates show a cumulative increase in Medicare expenditures over the first five demonstration years. The evaluation found decreases in number of all-cause 30-day readmissions, and probabilities of any inpatient admission, any skilled nursing facility admission, any long-stay nursing facility use, and any ambulatory care sensitive condition admission\u2013 all favorable findings.","Keywords":"Financial Alignment Initiative for Medicare-Medicaid Enrollees, Medicare, Medicaid, fee-for-service (ffs)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-sc-thirdevalrpt-aag)","Related Content 2":"Financial Alignment Initiative for Medicare-Medicaid Enrollees (https:\/\/innovation.cms.gov\/innovation-models\/financial-alignment)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/fai-sc-thirdevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"326"},{"Title":"Part D Senior Savings Model - Second Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/pdss-second-eval-rpt","Month of Publication":"December","Year of publication":"2023","Abstract":"The Part D Senior Savings (PDSS) Model evaluation second annual report indicates that the PDSS Model worked as expected with increased access to insulins and improved adherence and lower total out-of-pocket spending for insulin users. To learn more about the PDSS Model, access the two-page findings at-a-glance and the full evaluation report. ","Keywords":"Medicare, Part d, insulin, $35 copayment, prescription drugs, drug costs ","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/pdss-second-eval-aag-rpt)","Related Content 2":"Part D Senior Savings model (https:\/\/innovation.cms.gov\/innovation-models\/part-d-savings-model)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/pdss-second-eval-aag-rpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"327"},{"Title":"End-Stage Renal Disease Treatment Choices (ETC) Model 2nd Annual Evaluation Report and Appendices","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/etc-2nd-eval-rpt","Month of Publication":"January","Year of publication":"2024","Abstract":"Results from the first two years (2021-2022) of the End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC), showed increased overall transplantation and deceased donor transplantation but no impact on living donor transplantation or transplant waitlisting Also, the Model had no effect on home dialysis rates, though home dialysis training did increase. Through ETC, CMS uses payment adjustments to ESRD Facilities and Managing Clinicians to increase rates of home dialysis, transplant waitlisting, and living donor transplantation.","Keywords":"End-Stage Renal Disease, ESRD, quality, payment system, Medicare, bundled payments","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/etc-2nd-eval-rpt-aag)","Related Content 2":"ESRD Treatment Choices (ETC) Model  (https:\/\/innovation.cms.gov\/innovation-models\/esrd-treatment-choices-model)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/etc-2nd-eval-rpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"328"},{"Title":"Next Generation Accountable Care Organization Model - Final Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/nextgenaco-sixthevalrpt","Month of Publication":"January","Year of publication":"2024","Abstract":"Across its six years, ACOs in the Next Generation ACO Model (NGACO) were associated with an approximate $1.7 billion decline in Medicare Parts A and B spending without exhibiting declines in quality as measured by adverse events following an inpatient hospitalization. The reductions in spending reflect ACO improvements in data analysis capability, expanded care management activities, provider engagement and skilled nursing facility (SNF) partnerships.  ","Keywords":"Next Generation Accountable Care Organization (ACO) Model, Medicare Shared Savings Program (MSSP), Next Generation ACO Model, accountable care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/nextgenaco-sixthevalrpt-aag)","Related Content 2":"Appendices (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/nextgenaco-sixthevalrpt-app)","Related Content 3":"Visual Appendix (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/nextgenaco-6thevalrpt-vis-app)","Related Content 4":"Next Generation ACO Model (https:\/\/innovation.cms.gov\/innovation-models\/next-generation-aco-model)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/nextgenaco-sixthevalrpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"329"},{"Title":"Integrated Care for Kids (InCK) Model: Evaluation Report 2 (Implementation Year 1) (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/inck-model-second-eval-rpt","Month of Publication":"February","Year of publication":"2024","Abstract":"Results from the first year of implementation (2022) of the Integrated Care for Kids (InCK) model showed award recipients designed their own pediatric alternative payment models (APMs), needs screening processes, eligibility criteria for care coordination, and strategies to integrate services. The landscape of access and availability of health and health related social service providers influenced these designs. Most APMs were structured to support enhanced care coordination for patients identified by needs assessment to have higher acuity of needs. ","Keywords":"Medicare, Medicaid, Children\u0027s Health, Local Populations, State-Based, Children\u00c3\u00ads Health Insurance Program (CHIP), innovation, Connecticut, Illinois, North Carolina, New Jersey, New York, Ohio","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/inck-model-second-eval-rpt-aag)","Related Content 2":"Integrated Care for Kids (InCK) Model  (https:\/\/innovation.cms.gov\/innovation-models\/integrated-care-for-kids-model)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/inck-model-second-eval-rpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"330"},{"Title":"Independence at Home Demonstration - Year Eight Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/iah-year8-eval-report","Month of Publication":"February","Year of publication":"2024","Abstract":"The Independence at Home (IAH) Demonstration was launched in 2012 through Section 3024 of the Patient Protection and Affordable Care Act. Under the demonstration, physician- and nurse-led teams provide primary care services in the homes of beneficiaries with chronic illness and functional limitations. IAH practices receive a payment incentive if they generate savings above an established threshold and meet quality-of-care targets. This evaluation report covers the first eight years of the demonstration and examines the IAH incentive payment\u2019s effects on spending, utilization, and quality during 2021, the second year of the COVID-19 pandemic.","Keywords":"Independence at Home Demonstration - Year Eight Evaluation Report, Independence at Home Demonstration, IAH, primary care, home care, COVID-19, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/iah-year8-eval-report-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/iah-year8-eval-report-app)","Related Content 3":"Independence at Home Demonstration (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/independence-at-home)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/iah-year8-eval-report-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"331"},{"Title":"Evaluation of the Primary Care First Model - Second Annual Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/pcf-second-eval-rpt","Month of Publication":"February","Year of publication":"2024","Abstract":"In its second performance year, PCF had no meaningful effect on hospitalizations and an increase in Medicare expenditures and primary care-substitutable ED visits, as expected at this point in the model. Prior experience with value-based payment models, affiliation with a larger health care system, staffing capacity, community ties and resources, robust and compatible EHRs and patient engagement were key facilitators in practices\u2019 implementation of the model.","Keywords":"Primary care, seriously ill populations (SIP), chronic health needs, improved outcomes, clinician-patient relationship, health equity, quality of care","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/pcf-second-eval-aag-rpt)","Related Content 2":"Primary Care First Model Options (https:\/\/innovation.cms.gov\/innovation-models\/primary-care-first-model-options)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/pcf-second-eval-aag-rpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"332"},{"Title":"Maryland Total Cost of Care: Progress Reports for the First 4 Years of the Model","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/md-tcoc-1st-progress-rpt","Month of Publication":"April","Year of publication":"2024","Abstract":"The MD TCOC Model evaluation of whether state accountability and provider incentives can improve care and population health for Medicare beneficiaries revealed positive impacts on spending, quality, and service use across its first four years.  The model has been building upon encouraging trends seen after implementing global budgets under the Maryland All-Payer Model (MDAPM). The model reduced disparities in quality of care measures for beneficiaries by race (non-Hispanic Black compared to White) and place (living in high compared to low Social Vulnerability Index areas).  Beyond the other model components, the Maryland Primary Care Program (MDPCP) is improving timely follow-up after exacerbation of chronic conditions and possibly reducing admissions, yet with no measurable savings. ","Keywords":"population health, Maryland, All-payer, global budgets, quality of care, racial, social, and demographic disparities","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/md-tcoc-1st-progress-rpt-aag)","Related Content 2":"Appendices (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/md-tcoc-1st-progress-rpt-app)","Related Content 3":"Transformation Spotlight (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/md-tcoc-transformation-spotlight)","Related Content 4":"Maryland Total Cost of Care Model  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/md-tccm)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/md-tcoc-1st-progress-rpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"333"},{"Title":"Value in Opioid Use Disorder Treatment Demonstration Program - Intermediate Report to Congress (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vit-intermediate-rtc","Month of Publication":"April","Year of publication":"2024","Abstract":"For the first 1.5 years of the demonstration, Medicare beneficiary enrollment was low but for the beneficiaries who did enroll, the demonstration had favorable impacts on Medicare spending, inpatient admissions, and emergency department visits.","Keywords":"Value in Opioid Use Disorder Treatment Demonstration Program, ViT Demonstration Program, opioid, Medicare, OUD, opioid use disorder, emergency department, ED","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vit-intermediate-rtc-aag)","Related Content 2":"Value in Opioid Use Disorder Treatment Demonstration Program (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/value-in-treatment-demonstration)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vit-intermediate-rtc-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"334"},{"Title":"BPCI Advanced Fifth Annual Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/bpci-adv-ar5","Month of Publication":"May","Year of publication":"2024","Abstract":"In 2021, the BPCI Advanced Model generated net savings to Medicare, offsetting losses in earlier years, and had varied quality results. The model also expanded the reach of value-based care to beneficiaries not attributed to Medicare ACOs.","Keywords":"Bundled Payments for Care Improvement Advanced Initiative, BPCI-Advanced, evaluation, Fifth Annual Report","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/innovation.cms.gov\/data-and-reports\/2024\/bpci-adv-ar5-aag)","Related Content 2":"Appendices (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2024\/bpci-adv-ar5-appendices)","Related Content 3":"","Related Content 4":"BPCI Advanced  (https:\/\/innovation.cms.gov\/innovation-models\/bpci-advanced)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/innovation.cms.gov\/data-and-reports\/2024\/bpci-adv-ar5-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)   |   (https:\/\/innovation.cms.gov\/data-and-reports\/2024\/bpci-adv-ar5-exec-summary)","Perspective Report":"TRUE","ID":"335"},{"Title":"Oncology Care Model -  Final Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ocm-final-eval-report-2024","Month of Publication":"May","Year of publication":"2024","Abstract":"This final evaluation report of the Oncology Care Model (OCM) captures the transformational changes adopted by practices to enhance services for their patients.  It also assesses the impact on costs, quality, and equity. The model continued to reduce spending through the improved use of high-value supportive care drugs among high-risk cancer types.  Such that, gross spending reductions started to cover model payments and diminish overall net losses to Medicare.  Measures of quality improved but not relative to non-participating practices. ","Keywords":"Oncology Care Model - Final Evaluation Report, Oncology Care Model, OCM, cancer, Medicare, oncology","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ocm-final-eval-report-2024-aag)","Related Content 2":"Appendices (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ocm-final-eval-report-2024-supp-app)","Related Content 3":"","Related Content 4":"Patient Perspective Report (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ocm-final-eval-report-2024-patient-persp)","Related Content 5":"Oncology Care Model (https:\/\/innovation.cms.gov\/innovation-models\/oncology-care)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ocm-final-eval-report-2024-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ocm-final-eval-report-2024-exec-sum)","Perspective Report":"TRUE","ID":"336"},{"Title":"Oncology Care Model -  Patient Perspective Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ocm-final-eval-report-2024-patient-persp","Month of Publication":"May","Year of publication":"2024","Abstract":"This report shares the experiences of cancer care among Medicare beneficiaries, highlighting the features of care that matter most to them. Through open and honest conservations with cancer patients, the report describes patients\u2019 experiences with finding an oncologist, communicating with their care team, making treatment decisions, managing symptoms, handling financial issues, getting help, and anything else that was important to them.","Keywords":"Oncology Care Model - Final Evaluation Report, Oncology Care Model, OCM, cancer, Medicare, oncology, Oncology Care Model -  Patient Perspective Report","Type":"Reports","Related Content":"Oncology Care Model (https:\/\/innovation.cms.gov\/innovation-models\/oncology-care)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"337"},{"Title":"Maternal Opioid Misuse (MOM) Model - Third Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/mom-third-ann-eval-rpt","Month of Publication":"June","Year of publication":"2024","Abstract":"The Maternal Opioid Misuse (MOM) Model provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with Opioid Use Disorder (OUD). Seven state Medicaid agencies engaged 1,173 patients through care delivery partners. The MOM Model is leveraging peer recovery services integration, provider communication improvements, and Health Related Social Needs resource connections to help pregnant and postpartum patients.","Keywords":"Maternal Opioid Misuse (MOM) Model, State \u0026 Community-Based Models, Disease-Specific \u0026 Episode-Based Models, Maternal Opioid Misuse (MOM) Model - Third Annual Evaluation Report, opioid, opioid use disorder (OUD), mother, babies, Medicaid, pregnant, postpartum","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/mom-third-ann-eval-aag-rpt)","Related Content 2":"Maternal Opioid Misuse (MOM) Model  (https:\/\/innovation.cms.gov\/innovation-models\/maternal-opioid-misuse-model)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/mom-third-ann-eval-aag-rpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"338"},{"Title":"Vermont All-Payer ACO Model (VTAPM) - Fourth Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vtapm-4th-eval-full-report","Month of Publication":"June","Year of publication":"2024","Abstract":"The VTAPM has achieved statistically significant cumulative gross and net spending reductions over the first five performance years (2018-2022), among those beneficiaries attributed to the Medicare ACO.  Spending reductions appear to be driven largely by declines in hospital utilization. Similar to previous years, we continue to see sharp declines in specialist E\u0026M visits, potentially due to ongoing specialist shortages and increasing demand for care in the state. The VTAPM is seen by many stakeholders as a focal point to continue transformation towards a culture of value-based care, but there have been barriers to fully transitioning model participants to value-based care across all-payers, with more limited model participation in the commercial and Medicare ACO initiatives.","Keywords":"Vermont All-Payer ACO Model (VTAPM) - Fourth Evaluation Report, Vermont All-Payer ACO Model (VTAPM), Medicare, accountable care organization, ACO, Medicaid","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vtapm-4th-eval-report-aag)","Related Content 2":"Appendix (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vtapm-4th-eval-report-app)","Related Content 3":"","Related Content 4":"","Related Content 5":"Vermont All-Payer ACO Model (https:\/\/innovation.cms.gov\/innovation-models\/vermont-all-payer-aco-model)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vtapm-4th-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"339"},{"Title":"Global and Professional Direct Contracting Model Second Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/gpdc-2nd-ann-report","Month of Publication":"July","Year of publication":"2024","Abstract":"Through Global and Professional Direct Contracting (GPDC), CMS provides Direct Contracting Entities\u2019 (DCEs\u2019), and their participating health care providers, with greater control over cash flows and flexibility through several Medicare benefit enhancements in exchange for taking on financial risk. In 2022, the GPDC model increased net Medicare spending but improved quality measures.","Keywords":"Direct Contracting, DCE\u0027s, beneficiaries, providers, second annual evaluation report, quality and financial results","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/gpdc-2nd-ann-report-aag)","Related Content 2":"Appendices (PDF)   |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/gpdc-2nd-ann-report-app)","Related Content 3":"","Related Content 4":"Global and Professional Direct Contracting Model  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/gpdc-model)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/gpdc-2nd-ann-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"340"},{"Title":"Kidney Care Choices Model - First Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/kcc-model-eval-ann-rpt-1","Month of Publication":"September","Year of publication":"2024","Abstract":"The KCC Model includes two model options: the Kidney Care First (KCF) option primarily uses payment adjustments, and the Comprehensive Kidney Care Contracting (CKCC) option is a total cost of care model with varying levels of risk. Results from the first year (2022) of the Kidney Care Choices Model (KCC) showed increases in home dialysis and home dialysis training, optimal starts to dialysis, but no significant changes in transplant rates. There was no evidence of impacts on overall Medicare payments, net savings or losses to Medicare, most utilization outcomes (including emergency department use, hospital admissions, and readmissions), nor unintended consequences.","Keywords":"Kidney Care Choices Model - First Annual Evaluation Report, Kidney Care Choices Model, KCC Model, kidney, Kidney Care First (KCF) option, Comprehensive Kidney Care Contracting (CKCC) option, dialysis, home dialysis, transplant, Accountable Care Models, Disease-Specific \u0026 Episode-Based Models","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/kcc-model-eval-ann-rpt-1-aag)","Related Content 2":"","Related Content 3":"Appendices (PDF)  |  (https:\/\/www.cms.gov\/kcc-model-eval-ann-rpt-1-app)","Related Content 4":"","Related Content 5":"Kidney Care Choices (KCC) Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/kidney-care-choices-kcc-model)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/kcc-model-eval-ann-rpt-1-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |  (https:\/\/www.cms.gov\/kcc-model-eval-ann-rpt-1-exec)","Perspective Report":"TRUE","ID":"341"},{"Title":"Medicare Intravenous Immune Globulin (IVIG) Demonstration - Final Report to Congress (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ivig-final-rtc","Month of Publication":"October","Year of publication":"2024","Abstract":"The Medicare Intravenous Immune Globulin (IVIG) Demonstration was established by legislation in 2012 and provided for a bundled payment for items and services necessary for the in-home administration of IVIG for Medicare beneficiaries with specific Primary Immunodeficiency Disorders. This evaluation report covers the entire period of the demonstration, October 2014 to December 2023. During this time, 5,075 Medicare FFS beneficiaries enrolled in the demonstration, of which about 75 percent received in-home IVIG therapy. Active demonstration participants received a greater number of IVIG infusions compared to non-participants, had reduced likelihood of missing or having to postpone their IVIG therapies, and experienced fewer infections. The demonstration led to an average annual increase of $3,528 per beneficiary among active demonstration participants relative to the comparison group.","Keywords":"Medicare Intravenous Immune Globulin (IVIG) Demonstration - Final Report to Congress, IVIG Demonstration, RTC, Primary Immunodeficiency Disorders, Medicare, Medicare Fee for Service, FFS, infusion","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ivig-final-rtc-aag)","Related Content 2":"Medicare Intravenous Immune Globulin (IVIG) Demonstration (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/ivig)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ivig-final-rtc-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"342"},{"Title":"Accountable Health Communities Model - Third Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ahc-3rd-eval-report","Month of Publication":"November","Year of publication":"2024","Abstract":"Over the first four years of the model, AHC reduced Medicare and Medicaid costs and was associated with improvements in hospital-based quality of care outcomes, even though there were no significant increases in connection to community services or resolution of health-related social needs. These findings may reflect the fact that navigators not only helped beneficiaries with their health-related social needs, but also addressed tangible barriers to health care (for example, transportation to medical appointments) and helped them navigate the health care system generally. ","Keywords":"Accountable Health Communities Model - Third Evaluation Report, Accountable Health Communities Model, AHC, Medicare, Medicaid, social needs, health-related social needs, bridge organizations","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ahc-3rd-eval-report-aag)","Related Content 2":"Appendix (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ahc-3rd-eval-report-apps)","Related Content 3":"Accountable Health Communities Model (https:\/\/innovation.cms.gov\/innovation-models\/ahcm)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ahc-3rd-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"343"},{"Title":"Oncology Care Model - Supplemental Report: Impacts by Risk Arrangement","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/ocm-tot-report","Month of Publication":"November","Year of publication":"2024","Abstract":"Practices that eventually adopted two-sided risk were more likely to report adding or enhancing care transformation processes; they also accounted for most of the model\u2019s payment reductions.  This report summarizes the impacts for five distinct groups based on how long practices remained in the model and what financial risk component they eventually elected.","Keywords":"Oncology Care Model - Supplemental Report: Impacts by Risk Arrangement","Type":"Reports","Related Content":"Oncology Care Model (OCM) (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/oncology-care)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"344"},{"Title":"Comprehensive Care for Joint Replacement Model: Sixth Annual Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/cjr-py6-annual-report","Month of Publication":"December","Year of publication":"2024","Abstract":"The CJR Model underwent significant model changes for the sixth performance year. The model achieved Medicare savings marking a return to the prior pattern of savings in the first four years of the model. CJR hospitals reduced the cost of joint replacements while maintaining quality of care for the sixth consecutive year. Hospitals reduced costs by sending patients to less intensive post-acute care settings. Since CMS removed outpatient knee, ankle, and hip replacements from the inpatient-only list, these procedures are now all performed largely in the outpatient setting. This report also explores factors that impacted hospitals\u0027 experiences in the model, including strategic alignment with Medicare ACOs and the unique experiences of safety-net hospitals.","Keywords":"Comprehensive Care for Joint Replacement Model - PY6 Annual Report, CJR, joint replacement, Medicare, episode based payments, lower extremity joint replacement (LEJR), Metropolitan Statistical Areas (MSAs), Total Knee Arthoplasty (TKA), Total Hip Arthoplasty (THA)","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/cjr-py6-ar-findings-aag)","Related Content 2":"","Related Content 3":"Drivers of Care Transformation (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/cjr-py6-ar-drivers-transformation)","Related Content 4":"Drivers of Impact (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/cjr-py6-ar-drivers-impact)","Related Content 5":"Comprehensive Care for Joint Replacement (CJR) Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/cjr)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/cjr-py6-ar-findings-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/cjr-py6-ar-exec-sum)","Perspective Report":"TRUE","ID":"345"},{"Title":"Drivers of Impact: Insights from the Evaluation of Comprehensive Care for Joint Replacement Model","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/cjr-py6-ar-drivers-impact","Month of Publication":"December","Year of publication":"2024","Abstract":"This report summarizes the story of the CJR Model to date, with emphasis on findings from the latest performance year. The model reduced the cost of joint replacements while maintaining quality of care for the sixth consecutive year. Hospitals reduced costs by sending patients to less intensive post-acute care settings. CJR hospitals continued to change patterns of care before, during, and after the joint replacement procedure to better prepare patients for a safe discharge home. By making hospitals accountable for rehabilitation, providing them with information about the use and cost of care beyond the hospital stay, and allowing them to share in the savings to Medicare, the CJR Model gave providers both the means to drive better value and the incentive for doing so. ","Keywords":"Drivers of Impact: Insights from the Evaluation of the CJR Model, CJR, joint replacement, Medicare, episode based payments, lower extremity joint replacement (LEJR), Metropolitan Statistical Areas (MSAs), Total Knee Arthoplasty (TKA), Total Hip Arthoplasty (THA)","Type":"Reports","Related Content":"Comprehensive Care for Joint Replacement (CJR) Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/cjr)","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"346"},{"Title":"Drivers of Care Transformation: Evaluation of the Comprehensive Care for Joint Replacement Model","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/cjr-py6-ar-drivers-transformation","Month of Publication":"December","Year of publication":"2024","Abstract":"The CJR Model provides evidence that payment incentives that hold providers accountable for a well-defined and clinically meaningful episode of care can motivate transformative changes to patient care. The CJR Model not only motivated better coordination across providers but also encouraged innovation in protocols that guide how care is delivered and the pathways that define the patient\u2019s journey. CJR hospitals focused on reducing unnecessary care and engaging patients so they could be well informed and physically prepared for surgery and recovery. Hospitals developed more presurgery education programs and prescribed physical therapy before and after surgery. They also revised postdischarge strategies and strengthened provider relationships to reduce institutional stays and get patients home sooner after their surgery. This report explores how and why CJR hospitals transformed care for patients. ","Keywords":"Drivers of Care Transformation: Evaluation of the CJR Model, CJR, joint replacement, Medicare, episode based payments, lower extremity joint replacement (LEJR), Metropolitan Statistical Areas (MSAs), Total Knee Arthoplasty (TKA), Total Hip Arthoplasty (THA)","Type":"Reports","Related Content":"Provider\u00a0Experiences\u00a0Under\u00a0the\u00a0CJR\u00a0Model:\u00a0Case\u00a0Studies\u00a0from\u00a0Three\u00a0Mandatory\u00a0Markets | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2022\/cjr-thirdannrpt-provider-experiences)","Related Content 2":"Performance Year 2 Evaluation Report An In-Depth Look: Hospital Case Studies | (https:\/\/downloads.cms.gov\/files\/cmmi\/cjr-secondannrpt-case-study-supp.pdf)","Related Content 3":"Comprehensive Care for Joint Replacement (CJR) Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/cjr)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"347"},{"Title":"CMS Innovation Center - Seventh Report to Congress (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/rtc-2024","Month of Publication":"December","Year of publication":"2024","Abstract":"The CMS Innovation Center (CMMI) released the 2024 Report to Congress (RTC) (PDF). During the period of report, more than 192,000 providers and\/or plans participated in CMS Innovation Center models and initiatives, serving more than 57 million beneficiaries. This seventh report features strategic accomplishments, updates on 37 models and initiatives (including 9 newly announced models), 52 evaluations, and more activities from October 1, 2022 through September 30, 2024.","Keywords":"CMS Innovation Center - Seventh Report to Congress (PDF), RTC, CMMI Report to Congress, value-based care, demonstrations, models, initiatives, Medicare, Medicaid, CHIP, lessons learned","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"348"},{"Title":"Preview of Findings from the Evaluation of the \u201cVBID General\u201d Component of the Medicare Advantage Value-Based Insurance Design Model (2020 \u2013 2023) (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vbid-preview-eval-findings-2020-2023","Month of Publication":"December","Year of publication":"2024","Abstract":"This document, along with the related accompanying report, comprise an executive summary of the forthcoming evaluation report for VBID and a report summarizing additional analyses of 2023 evaluation report findings. These materials offer additional detail on the evaluation findings that informed the termination of the VBID model at the end of 2025. Building on the 2023 evaluation report finding of increased costs associated with the VBID model in 2021, the executive summary of the forthcoming evaluation report indicates continued increased costs associated with the VBID model. CMS\u2019 additional analyses of 2023 evaluation findings provide more detail on the association between VBID participation and higher enrollee risk scores. These analyses conclude that the association between VBID plan participation and higher enrollee risk scores was seen across subsets of the model and that the increased prevalence of Hierarchical Condition Categories (HCCs) drove the risk score increase associated with the model.","Keywords":"","Type":"Reports","Related Content":"Supplementary Analyses of 2023 Evaluation Report Findings  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vbid-riskscores-2023evalsupp)","Related Content 2":"Medicare Advantage Value-Based Insurance Design Model - Year Two Evaluation Report (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/vbid-2nd-eval-report)","Related Content 3":"Medicare Advantage Value-Based Insurance Design Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/vbid)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"349"},{"Title":"Medicare Advantage Value-Based Insurance Design Model: Supplementary Analyses of 2023 Evaluation Report Findings (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vbid-riskscores-2023evalsupp","Month of Publication":"December","Year of publication":"2024","Abstract":"This document, along with the related accompanying report, comprise an executive summary of the forthcoming evaluation report for VBID and a report summarizing additional analyses of 2023 evaluation report findings. These materials offer additional detail on the evaluation findings that informed the termination of the VBID model at the end of 2025. Building on the 2023 evaluation report finding of increased costs associated with the VBID model in 2021, the executive summary of the forthcoming evaluation report indicates continued increased costs associated with the VBID model. CMS\u2019 additional analyses of 2023 evaluation findings provide more detail on the association between VBID participation and higher enrollee risk scores. These analyses conclude that the association between VBID plan participation and higher enrollee risk scores was seen across subsets of the model and that the increased prevalence of Hierarchical Condition Categories (HCCs) drove the risk score increase associated with the model.","Keywords":"Medicare Advantage Value-Based Insurance Design Model, MA VBID, Parent Organizations (POs), states, COPD, CHF, diabetes, and hypertension, Medicare","Type":"Reports","Related Content":"Preview of Findings from the Medicare Advantage Value-Based Insurance Design Model Test (2020 \u2013 2023)  | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/vbid-preview-eval-findings-2020-2023)","Related Content 2":"Medicare Advantage Value-Based Insurance Design Model - Year Two Evaluation Report (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2023\/vbid-2nd-eval-report)","Related Content 3":"Medicare Advantage Value-Based Insurance Design Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/vbid)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"350"},{"Title":"Pennsylvania Rural Health Model (PARHM) Fourth Annual Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/parhm-ar4","Month of Publication":"December","Year of publication":"2024","Abstract":"Across four years of the model, participating hospitals received consistent payments which aimed at preventing hospital closures and made incremental improvements in care transformations.","Keywords":"Rural health, Pennsylvania, Affordable Care Act (ACA), Innovation Models, Health Equity, Fourth Annual Report, PARHM","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/parhm-ar4-aag)","Related Content 2":"Appendices  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/parhm-ar4-app)","Related Content 3":"Pennsylvania Rural Health Model (https:\/\/innovation.cms.gov\/innovation-models\/pa-rural-health-model)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2024\/parhm-ar4-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"351"},{"Title":"Emergency Triage, Treat, and Transport (ET3) Model - Final Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/et3-model-final-eval-rpt","Month of Publication":"January","Year of publication":"2025","Abstract":"During its three-year duration, less than 40% of the model\u2019s 185 participant ambulance suppliers and providers delivered any Transport to Alternative Destination (TAD) or Treatment In Place (TIP) ET3 interventions because of implementation challenges. TIP made up nearly all of the 3,418 ET3 interventions delivered (\u003E90 percent). TIP recipients had a higher risk of subsequent emergency department (ED) visits or hospitalizations within 5 days compared to referent group episodes. Participant organizations that delivered at least 100 ET3 interventions during the model exhibited a lower risk of subsequent ED visits or hospitalizations than participants with fewer than 100 ET3 interventions.","Keywords":"Emergency Triage, Treat, and Transport (ET3) Model - Final Evaluation Report, ET3 Model, ambulance, Medicare, Transport to Alternative Destinations (TAD), Treatment In Place (TIP), ED, emergency department, hospitalizations","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/et3-model-final-eval-rpt-aag)","Related Content 2":"Appendix  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/et3-model-final-eval-rpt-appendix)","Related Content 3":"Emergency Triage, Treat, and Transport (ET3) Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/et3)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/et3-model-final-eval-rpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"352"},{"Title":"State Innovation Models Initiatives - Final Summary Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/sim-summary-finalrpt","Month of Publication":"January","Year of publication":"2025","Abstract":"The CMS Innovation Center awarded funding to 17 awardees across two rounds of the State Innovation Model (SIM) that operated between 2013-2020.  This paper summarizes qualitative and quantitative findings to expand the evidence base for state-based models including the role states can play in spreading value-based payment, policy and implementation lessons learned, and the relevance of these findings for successive Innovation Center models.","Keywords":"State Innovation Models Initiatives - Final Summary Report, State Innovation Models Initiatives (SIM), state innovation, State Innovation Models Initiative: Model Design Awards Round One, State Innovation Models Initiative: Model Design Awards Round Two, State Innovation Models Initiative: Model Pre-Test Awards, State Innovation Models Initiative: Model Test Awards Round One, State Innovation Models Initiative: Model Test Awards Round Two","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/sim-summary-aag-finalrpt)","Related Content 2":"State Led Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/sim-summary-stateled-aag)","Related Content 3":"State Innovation Models Initiative: General Information (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/state-innovations)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/sim-summary-aag-finalrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/sim-summary-report-exec-summary)","Perspective Report":"TRUE","ID":"353"},{"Title":"Independence at Home: Year Nine Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/iah-year9-eval-report","Month of Publication":"March","Year of publication":"2025","Abstract":"The Independence at Home (IAH) Demonstration was launched in 2012 through Section 3024 of the Patient Protection and Affordable Care Act. Under the demonstration, physician- and nurse-led teams provide primary care services in the homes of beneficiaries with chronic illness and functional limitations. IAH practices receive a payment incentive if they generate savings above an established threshold and meet quality-of-care targets. This evaluation report covers the first nine years of the demonstration and examines the IAH incentive payment\u2019s effects on spending, utilization, and quality during 2022, the third year of the COVID-19 pandemic.","Keywords":"Independence at Home Demonstration - Year Nine Evaluation Report, Independence at Home Demonstration, IAH, primary care, home care, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/iah-year9-eval-report-fg)","Related Content 2":"Appendices (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/iah-year9-eval-report-fg)","Related Content 3":"Independence at Home Demonstration (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/independence-at-home)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/iah-year9-eval-report-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"354"},{"Title":"Medicare Advantage Value-Based Insurance Design Model Evaluation Report: 2020 to 2023 (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/vbid-2020-2023-eval-report","Month of Publication":"March","Year of publication":"2025","Abstract":"Participation in VBID General has increased substantially since Phase II of the model test began, in part due to statutory expansion of the model nationwide and opening participation to special needs plans. Reduced cost sharing for Part D and supplemental benefits dominated VBID General offerings in 2023. VBID General is associated with increases in beneficiary drug adherence, risk scores, and inpatient stays in 2020 and 2021, and Star Ratings and costs to CMS in 2021 and 2022. VBID Hospice participation continued to grow, but uptake of model services continued to be low in 2023.","Keywords":"Medicare Advantage Value-Based Insurance Design Model, MA VBID, Parent Organizations (POs), states, COPD, CHF, diabetes, and hypertension, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/vbid-2020-2023-general-aag)","Related Content 2":"Hospice Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/vbid-2020-2023-hospice-aag)","Related Content 3":"Appendices (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/vbid-2020-2023-eval-rpt-app)","Related Content 4":"Medicare Advantage Value-Based Insurance Design Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/vbid)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/vbid-2020-2023-general-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"355"},{"Title":"Medicare Diabetes Prevention Program (MDPP) Expanded Model Final Annual Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/mdpp-finalevalrpt","Month of Publication":"March","Year of publication":"2025","Abstract":"During the first six years of the program (April 2018-March 2024), MDPP suppliers enrolled just over 9,000 beneficiaries, with about half being in Medicare Advantage and the other half in traditional fee-for-service Medicare.\u00a0 More than half of beneficiaries met the 5% weight loss goal. Among those who lost at least 5% of body weight and stayed in the program, over 80% maintained or lost additional weight by the end of the program.\u00a0 MDPP beneficiaries are satisfied with the program and have reported short-term benefits such as improvements in body fat, cholesterol, and A1c levels.\u00a0 However, effects on population health are limited given low program enrollment.","Keywords":"Medicare, Diabetes Prevention, MDPP, Medicare Diabetes Prevention Program (MDPP) Expanded Model Third Annual Evaluation Report","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/mdpp-finalevalrpt-fg)","Related Content 2":"","Related Content 3":"","Related Content 4":"Medicare Diabetes Prevention Program (MDPP) (https:\/\/innovation.cms.gov\/innovation-models\/medicare-diabetes-prevention-program)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/mdpp-finalevalrpt-fg)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"356"},{"Title":"BPCI Advanced Sixth Annual Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/bpci-adv-ar6","Month of Publication":"April","Year of publication":"2025","Abstract":"The BPCI Advanced Model produced savings of $346 million in Model Year 5 (2022), driven largely by decreases in post-acute care spending. This finding continues the pattern of savings in Model Year 4 (2021), after CMS made changes to the model that were designed to increase the likelihood of savings to Medicare following losses in Model Years 1-3. This report describes how participants achieved savings while maintaining quality on claims-based outcomes (readmissions and mortality), but identifies room for improvement in patient-reported care experiences and satisfaction. ","Keywords":"Bundled Payments for Care Improvement Advanced Initiative, BPCI-Advanced, evaluation, Sixth Annual Report","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/bpci-adv-ar6-aag)","Related Content 2":"Appendix (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/bpci-adv-ar6-appendices)","Related Content 3":"Transformation Spotlight (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/bpci-adv-ar6-spotlight)","Related Content 4":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/bpci-adv-ar6-exec-summary)","Related Content 5":"BPCI Advanced  (https:\/\/innovation.cms.gov\/innovation-models\/bpci-advanced)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/bpci-adv-ar6-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/bpci-adv-ar6-exec-summary)","Perspective Report":"TRUE","ID":"357"},{"Title":"Primary Care First Model Options - Third Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pcf-third-eval-rpt","Month of Publication":"May","Year of publication":"2025","Abstract":"In its third performance year, PCF had no meaningful effect on hospitalizations and an increase in Medicare expenditures, as expected at this point in the model. Practices remained engaged in the model and continued to implement, and often modified existing care delivery strategies, especially care management, and added new strategies focused on comprehensiveness of and access to care.","Keywords":"Primary care, seriously ill populations (SIP), chronic health needs, improved outcomes, clinician-patient relationship, health equity, quality of care, third annual report","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pcf-third-eval-aag-rpt)","Related Content 2":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pcf-third-eval-es-rpt)","Related Content 3":"Primary Care First Model Options (https:\/\/innovation.cms.gov\/innovation-models\/primary-care-first-model-options)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pcf-third-eval-aag-rpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pcf-third-eval-es-rpt)","Perspective Report":"","ID":"358"},{"Title":"Preview of Findings from the Evaluation of ACO REACH Model for Performance Year 2023 ","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/aco-reach-preview-py2023-evaluation","Month of Publication":"May","Year of publication":"2025","Abstract":"This document comprises a summary of performance year (PY) 2023 findings that will be included in the forthcoming evaluation report for ACO REACH. This report offers evaluation findings that informed the PY 2026\u00a0model design changes for ACO REACH. Building on the evaluation findings from the Global and Professional Direct Contracting Model in PY 2022, this summary of the forthcoming evaluation report indicates increased net spending associated with the ACO REACH Model cumulatively, although the PY 2023 results also show signs trending in a positive direction overall for gross savings, quality, and utilization measures.","Keywords":"ACO REACH, ACOs, Accountable Care Organizations, Primary Care, Specialty Care, Tradidional Medicare, Global and Professional Direct Contracting (GPDC) Model ","Type":"Reports","Related Content":"","Related Content 2":"","Related Content 3":"ACO REACH (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/aco-reach)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"359"},{"Title":"Maternal Opioid Misuse (MOM) Model - Fourth Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/mom-fourth-ann-eval-rpt","Month of Publication":"July","Year of publication":"2025","Abstract":"The Maternal Opioid Misuse (MOM) Model provides integrated care for pregnant\/postpartum Medicaid beneficiaries with OUD. Through the third year of implementation, seven states engaged 2,119 patients using peer recovery services, provider communication improvements, and Health Related Social Needs resource connections. As the MOM Model ends in December 2025, states are designing sustainable funding and expanding access by broadening populations served, opening new clinics, and training providers.","Keywords":"Maternal Opioid Misuse (MOM) Model, State \u0026 Community-Based Models, Disease-Specific \u0026 Episode-Based Models, Maternal Opioid Misuse (MOM) Model - Fourth Annual Evaluation Report, opioid, opioid use disorder (OUD), mother, babies, Medicaid, pregnant, postpartum","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/mom-fourth-ann-eval-aag-rpt)","Related Content 2":"Maternal Opioid Misuse (MOM) Model  (https:\/\/innovation.cms.gov\/innovation-models\/maternal-opioid-misuse-model)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/mom-fourth-ann-eval-aag-rpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"360"},{"Title":"Enhancing Oncology Model Evaluation of Performance Period 1 (July\u2013December 2023) ","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/eom-1st-eval-report","Month of Publication":"August","Year of publication":"2025","Abstract":"The Enhancing Oncology Model (EOM) is an episode-based payment model where participants are financially accountable for the total cost of a 6-month episode of care involving systemic cancer therapies. In the first performance period, episodes starting between July to December 2023, practices reported a focus on value-based pharmacy interventions, which may have driven reductions in Part B cancer therapy spending and payment reductions. After accounting for payments to participants, estimates suggest net losses to Medicare.","Keywords":"Enhancing Oncology Model (EOM), cancer, diagnosis, treatment, Medicare, fee-for-service, care coordination, episode-based payment model, ","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/eom-1st-eval-report-aag)","Related Content 2":"Appendix (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/eom-1st-eval-report-app)","Related Content 3":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/eom-1st-eval-report-exec-sum)","Related Content 4":"Enhancing Oncology Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/enhancing-oncology-model)","Related Content 5":"Oncology Care Model (OCM) (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/oncology-care)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/eom-1st-eval-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/eom-1st-eval-report-exec-sum)","Perspective Report":"TRUE","ID":"361"},{"Title":"End-Stage Renal Disease Treatment Choices (ETC) Model 3rd Annual Evaluation Report (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/etc-3rd-eval-tech-rpt","Month of Publication":"August","Year of publication":"2025","Abstract":"Through three performance years (2021-2023), the End Stage Renal Disease (ESRD) Treatment Choices (ETC) Model has led to an increase in home dialysis training and an increase in overall transplant rates, driven by an increase in deceased donor transplants. The ETC Model has not led to increased home dialysis rates, transplant waitlisting, or transplant rates. ETC has had no impacts on overall Medicare spending nor on quality of care for patients on dialysis. The ETC Model is proposed to end December 31, 2025.","Keywords":"End-Stage Renal Disease, ESRD, quality, payment system, Medicare, bundled payments, End-Stage Renal Disease Treatment Choices (ETC) Model, ETC","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/etc-3rd-eval-aag-rpt)","Related Content 2":"Appendix (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/etc-3rd-eval-rpt-app)","Related Content 3":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/etc-3rd-eval-rpt-exec-summary)","Related Content 4":"End-Stage Renal Disease Treatment Choices (ETC) Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/esrd-treatment-choices-model)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/etc-3rd-eval-aag-rpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/etc-3rd-eval-rpt-exec-summary)","Perspective Report":"TRUE","ID":"362"},{"Title":"Rural Community Hospital Demonstration - Final Evaluation Report for the 21st Century Cures Act Extension Period (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/rchd-final-report","Month of Publication":"September","Year of publication":"2025","Abstract":"Findings for this report mostly align with earlier reports, suggesting the RCHD has reached a steady state in its financial impact and has achieved its goal of offering a mechanism for improved financial viability for RCH hospitals. In aggregate, hospitals new to the Demonstration saw an improvement in their Medicare inpatient margins while continuing hospitals maintained inpatient margins near a break-even point during the CCA extension. The COVID-19 pandemic dampened these effects, particularly for new participants.","Keywords":"Rural Community Hospital Demonstration - Final Evaluation Report for the 21st Century Cures Act Extension Period, Rural Community Hospital Demonstration, RCHD, Medicare, rural, rural hospital","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/rchd-final-report-aag)","Related Content 2":"Appendix (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/rchd-final-report-app)","Related Content 3":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/rchd-finalrpt-execsumm)","Related Content 4":"Rural Community Hospital Demonstration (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/rural-community-hospital-demonstration)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/rchd-final-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/rchd-finalrpt-execsumm)","Perspective Report":"TRUE","ID":"363"},{"Title":"Part D Senior Savings Model - Final Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pdss-final-eval-rpt","Month of Publication":"September","Year of publication":"2025","Abstract":"The Final Evaluation Annual Report of the Part D Senior Savings (PDSS) Model shows that PDSS was popular among participants, met goals of reducing Part D costs for the government and patients using insulin, and improved insulin utilization and adherence.","Keywords":"Part D Senior Savings Model - Final Evaluation Report, Part D Senior Savings Model, PDSS, Medicare, prescription drugs, Medicare Part D","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pdss-final-eval-aag-rpt)","Related Content 2":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pdss-final-eval-rpt-execsummary)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pdss-final-eval-aag-rpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/pdss-final-eval-rpt-execsummary)","Perspective Report":"TRUE","ID":"364"},{"Title":"Comprehensive Care for Joint Replacement Model: Performance Year 7 Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/cjr-py7-annual-report","Month of Publication":"December","Year of publication":"2025","Abstract":"The CJR Model continued to reduce spending on hip and knee joint replacement episodes while maintaining quality of care during its seventh performance year (2023). This report describes how CJR produced savings of $112.7 million during the first two years of the three-year extension period, driven mainly by decreases in payments to Inpatient Rehabilitation Facilities. A larger percentage (60%) of participants owed repayments to CMS in performance year seven than in previous years, and safety-net hospitals were disproportionately likely to owe repayments to CMS.\n","Keywords":"Comprehensive Care for Joint Replacement Model - FSeventh Annual Report, Comprehensive Care for Joint Replacement Model, CJR Model, joint replacement, mandatory model, bundled payments, episode-based payments, LEJR, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)   |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/cjr-fg-seventhannrpt)","Related Content 2":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/cjr-py7-ar-exec-sum)","Related Content 3":"Safety Net Hospital Experience Report (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/cjr-safety-net-hospital-exp-rpt)","Related Content 4":"","Related Content 5":"Comprehensive Care for Joint Replacement (CJR) Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/cjr)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF)   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/cjr-fg-seventhannrpt)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF)  |   (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2025\/cjr-py7-ar-exec-sum)","Perspective Report":"TRUE","ID":"365"},{"Title":"Report to Congress: Providing Accountable Care Organizations the Ability to Expand the Use of Telehealth","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/aco-telehealth-rtc","Month of Publication":"January","Year of publication":"2026","Abstract":"The Bipartisan Budget Act of 2018 expanded telehealth services for fee-for-service Medicare beneficiaries attributed to applicable ACOs. This Report to Congress analyzes the utilization and spending of telehealth services after the telehealth expansion went into effect in January 2020.","Keywords":"Fee-for-Service, Medicare, telehealth, Accountable Care Organizations, ACOs, unitlization, Report to Congress","Type":"Reports","Related Content":"Global and Professional Direct Contracting (GPDC) Model  |  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/gpdc-model)","Related Content 2":"ACO REACH Model  |  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/aco-reach)","Related Content 3":"Kidney Care Choices (KCC) Model  |  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/kidney-care-choices-kcc-model)","Related Content 4":"Next Generation ACO Model  |  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/next-generation-aco-model)","Related Content 5":"Comprehensive ESRD Care Model  |  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/comprehensive-esrd-care)","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"","Perspective Report":"","ID":"366"},{"Title":"Kidney Care Choices (KCC) Model - Second Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/kcc-2nd-annual-report","Month of Publication":"February","Year of publication":"2026","Abstract":"The Kidney Care Choices (KCC) Model includes two model options: the Kidney Care First (KCF) option primarily uses payment adjustments, and the Comprehensive Kidney Care Contracting (CKCC) option is a total cost of care model with varying levels of risk. Results from the second year (PY2023) of the KCC Model continued to show significant improvements in key quality goals of the model, such as increased rates of home dialysis and home dialysis training, increased optimal starts to dialysis, and increased preemptive and living donor transplants. Despite these quality gains, the model resulted in a significant net loss to Medicare in PY2023.","Keywords":"Evaluation of the Kidney Care Choices (KCC) Model: Summary of Findings for the Second Performance Year, Kidney Care Choice Model, KCC Model, kidney, home dialysis, dialysis, transplant, Medicare","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF) |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/kcc-2nd-annual-report-aag)","Related Content 2":"Executive Summary (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/kcc-2nd-annual-report-execsum)","Related Content 3":"Summary of Findings Report (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/kcc-2nd-annual-report-preview)","Related Content 4":"Appendices (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/kcc-2nd-annual-report-app)","Related Content 5":"Kidney Care Choice (KCC) Model  |  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/kidney-care-choices-kcc-model)","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/kcc-2nd-annual-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/kcc-2nd-annual-report-execsum)","Perspective Report":"TRUE","ID":"367"},{"Title":"Accountable Health Communities (AHC) Model Evaluation - Final Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/ahc-final-report","Month of Publication":"February","Year of publication":"2026","Abstract":"The AHC Model improved utilization and generated more than $200 million in savings through the model\u2019s targeted navigation services for core needs.","Keywords":"Accountable Health Communities, clinical care, community services, health related social needs, Medicare, Medicaid, screeening, referral, community navigation services","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF) |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/ahc-final-report-aag)","Related Content 2":"Executive Summary (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/ahc-final-report-exec-sum)","Related Content 3":"Accountable Health Communities (AHC) Model  |  (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/ahcm)","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/ahc-final-report-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"Executive Summary (PDF) | (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/ahc-final-report-exec-sum)","Perspective Report":"TRUE","ID":"368"},{"Title":"Making Care Primary (MCP) Model Summary Evaluation Report","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/mcp-eval-summary","Month of Publication":"February","Year of publication":"2026","Abstract":"The Making Care Primary (MCP) Model aimed to improve care for beneficiaries by supporting the delivery of advanced primary care services. This report describes participation and implementation in its 12 months before ending. It also examines MCP\u2019s chances for meeting the CMS Innovation Center\u2019s statutory criteria for model expansion had the model continued. The report finds that model participants faced substantial barriers to cost reduction and care improvement in the initial year of MCP, and low participation would have limited the evaluation\u2019s ability to detect effects. CMS terminated the model on June 30, 2025 due to low uptake, a lack of projected savings, and a desire to put resources towards more impactful models.","Keywords":"Making Care Primary (MCP) Model, primary care, voluntary innovation models, care management, care coordination, health related social needs, HRSNs, State Medicaid Agencies in Colorado, North Carolina, New Jersey, New Mexico, New York, Minnesota, Massachusetts and Washington","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF) |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/mcp-eval-aag)","Related Content 2":"","Related Content 3":"","Related Content 4":"Making Care Primary (MCP) Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/making-care-primary)","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/mcp-eval-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"369"},{"Title":"Evaluation of the Medicare Advantage Value-Based Insurance Design Model: 2020\u20132024","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/vbid-report-2020-2024","Month of Publication":"April","Year of publication":"2026","Abstract":"Participation in VBID General has increased substantially since Phase II of the model test began. Reduced cost sharing for Part D dominated VBID General offerings in 2024. VBID General continued to be associated with costs to CMS, targeted beneficiary risk scores, adherence, and rebates, as well as declines in bids and OOP costs. VBID General participation is no longer associated with Star ratings and inpatient stays.\n","Keywords":"Medicare, Part d, insulin, prescription drugs, drug costs, out of poclet costs","Type":"Reports","Related Content":"Executive Summary (PDF) |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/vbid-exec-sum-2020-2024)","Related Content 2":"Appendices (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/vbid-app-2020-2024)","Related Content 3":"","Related Content 4":"Medicare Advantage Value-Based Insurance Design Model (https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/vbid)","Related Content 5":"","At-A-Glance Reports URL":"","At-A-Glance Reports":"","Perspective Report URL":"Executive Summary (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/vbid-exec-sum-2020-2024)","Perspective Report":"","ID":"370"},{"Title":"Integrated Care for Kids (InCK) Model: Evaluation Report 3 (Implementation Years 1 and 2) (PDF)","Author":"","URL":"https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/inck-model-third-eval-rpt","Month of Publication":"May","Year of publication":"2026","Abstract":"This 3rd evaluation report summarizes implementation updates across all seven award recipients. Overall, the model reached from \u003C0.1% to 12.6% eligible beneficiaries across awardees. Impact results included the following: A 4.8% reduction in total cost of care for Village InCK; a 2.9% increase in well-child visits and an increase of 3.3% in total cost of care for North Carolina InCK. All Hands InCK did not have significant impacts.","Keywords":"Medicare, Medicaid, Children\u0027s Health, Local Populations, State-Based, Children\u00c3\u00ads Health Insurance Program (CHIP), innovation, Connecticut, Illinois, North Carolina, New Jersey, New York, Ohio","Type":"Reports","Related Content":"Findings-At-A-Glance (PDF)  |  (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/inck-model-third-eval-rpt-aag)","Related Content 2":"Integrated Care for Kids (InCK) Model  (https:\/\/innovation.cms.gov\/innovation-models\/integrated-care-for-kids-model)","Related Content 3":"","Related Content 4":"","Related Content 5":"","At-A-Glance Reports URL":"Findings-At-A-Glance (PDF) (https:\/\/www.cms.gov\/priorities\/innovation\/data-and-reports\/2026\/inck-model-third-eval-rpt-aag)","At-A-Glance Reports":"TRUE","Perspective Report URL":"","Perspective Report":"","ID":"371"}]