But many experts say the numbers don’t reflect the CMMI’s most significant impact: changing how providers think about and manage the healthcare delivery system through its emphasis on value ...

As leaders who work with physicians and practices daily, we know that one major way to build investment in primary care is to overhaul our system for financing primary care and move toward a ...

The leaders of CMS, CMMI, Medicare, and Medicaid/CHIP have acknowledged that our healthcare system is "fragmented and siloed." Is it possible that it is too fragmented at this point to benefit ...

It runs demonstration projects that test different payment models and strategies for CMS to engage in the healthcare system to improve patient outcomes. Several CMMI models pay for medical ...

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CMMI hopes that a focus on primary-specialty ... Referrals are an abiding operational obstacle within the healthcare delivery system—a kind of "pre-existing condition" that impacts how referrals ...

Navigating CMMI can initially seem daunting, especially when assessing its relevance to your organization. However, CMMI’s adaptability and practicality make it an invaluable framework for a wide ...

CMMI should design a model that builds on the ... model more predictive of MA plan behavior under an inferred risk score system. Comparing risk scores and utilization patterns for patients aligned ...

Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He ...