New Payment And Service Delivery Models

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Innovation Models CMS Innovation Center

    https://innovation.cms.gov/innovation-models
    The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS. These research and demonstration projects are exempt from the Common Rule …

New payment and service delivery models defined

    https://www.hfma.org/topics/hfm/2019/september/new-payment-and-service-delivery-models-defined.html
    Mar 16, 2020 · CMS recently introduced the following two new payment and service delivery models. Primary Care First (PCF) model. The PCF model is aimed at small practices on the lower end of the resources and technology spectrum, some possibly still lacking electronic health records (EHRs).

Bundled Payments for Care Improvement (BPCI) Initiative ...

    https://innovation.cms.gov/innovation-models/bundled-payments
    The Bundled Payments for Care Improvement (BPCI) initiative was comprised of four broadly defined models of care, which linked payments for the multiple services beneficiaries received during an episode of care. Under the initiative, organizations entered into payment arrangements that included financial and performance accountability for episodes of care.

Moving to new payment models: What you need to know ...

    https://www.ama-assn.org/practice-management/payment-delivery-models/moving-new-payment-models-what-you-need-know
    First up is an overview on the transition to new payment models. AMA Senior Attorney Wes Cleveland said it would be unwise for physicians to believe that the health care system would reverse its move away from fee for service and that, in the process, innovative new payment models would go away.

Patient Driven Payment Model CMS

    https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/PDPM
    In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay.

Next Generation ACO Models Data.CMS.gov

    https://data.cms.gov/Special-Programs-Initiatives-Speed-Adoption-of-Bes/Next-Generation-ACO-Models/tn2j-iqcf
    [Data Formatted for Mapping] The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.

CMS announces new model to address impact of the opioid ...

    https://www.cms.gov/newsroom/press-releases/cms-announces-new-model-address-impact-opioid-crisis-children
    Aug 23, 2018 · Today, the Centers for Medicare & Medicaid Services (CMS) announced a new Innovation Center payment and service delivery model as part of a multi-pronged strategy to combat the nation’s opioid crisis. The Integrated Care for Kids (InCK) Model aims to reduce expenditures and improve the quality of care for children under 21 years of age covered by Medicaid and the Children’s …

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