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...
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 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...
The Maternal Health Hub compiles resources and best practices to advance a vision for high-value and equitable maternity care in the U.S. The Hub is also home to a learning community for stakeholders committed to improving maternal health outcomes. The Hub is operated by the...
The Health Care Transformation Task Force developed the Alternative Payment Model (APM) Roles and Responsibilities Matrix as a resource to support payer, provider, and purchaser efforts to clearly identify and assign roles and responsibilities for common APM workstreams and activities. The goal of the matrix...
What's in a Name: A Primer on Global Budget Models The term “global budget” has been used to describe several different health care payment models. Commercial payers have referred to payment arrangements like the Blue Cross Blue Shield of Massachusetts Alternative Quality Contract (AQC) as a...