With the passage of the Affordable Care Act (ACA), the Medicare program embarked on a significant journey toward a value-based payment and care delivery system. The broad goal was to achieve a transformed system focused on the value of the care received by patients over...
The Health Care Transformation Task Force developed a comprehensive resource for industry stakeholders that allows for easy review and tracking of the Center for Medicare and Medicaid Innovation (CMMI or Innovation Center) payment models. This public-facing resource, the CMS Innovation Center Payment Model Tracker, compiles the...
The Health Care Transformation Task Force developed Accelerating the Use of Patient-Reported Quality Measures in Value-Based Care, a resource which explores the benefits of Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) (collectively called Patient-Reported Quality Measures (PRQMs)) in advancing effective value-based care. Assessing patients’...
The Health Care Transformation Task Force developed Principles for Prior Authorization Policies in Value-Based Care Arrangements to improve the prior authorization process for payers and providers as they implement and refine value-based care arrangements. Current prior authorization policies impose significant burdens on patients, providers, and...
The Health Care Transformation Task Force developed Principles for Sustainable Benchmarking in Value-Based Care, a resource that seeks to (1) align payment with the goal of delivering efficient, high-quality, equitable, and patient-centered care, (2) support ongoing investment in care delivery innovations, and (3) offer actionable...
The Center for Medicare and Medicaid Innovations (CMMI) recently announced the ACO Realizing Equity, Access, and Community Health (REACH) Model. The REACH Model will replace the Direct Contracting model starting on 1/1/23. ACO REACH retains the DC Model Global and Professional tracks and adds new...
“What is Health Care Value?” is a series that highlights the positive impact value-based payment models have had on consumers, patients, providers, and the system as a whole. The series uses statements primarily made during the inaugural Health Care Value Week, which took place in...
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is designed to encourage providers to move into value-based care arrangements that prioritize high-quality, patient-centered care. Under MACRA’s creation of the Quality Payment Program (QPP), two tracks are offered to providers: the Merit Based Incentive...
In 2021 the Health Care Transformation Task Force released a paper examining the long-term trends in projected and actual health care spending from 2000 to 2020. The paper highlighted slowing trends in health spending growth over the past decade and discussed the potential factors driving...
The Health Care Transformation Task Force developed a comprehensive briefer for industry stakeholders on the supplemental benefits offered in the Medicare Advantage (MA) program. The three-page briefer describes the evolution of legislation that established the range of MA supplemental benefits; the expansion of primarily health...