Lexology March 19, 2025
Holland & Knight LLP

Highlights

  • The Center for Medicare and Medicaid Innovation (CMMI) has released a statement on plans to unveil a new strategy focused on “improving the health of Americans through disease prevention via evidence-based practices, empowering individuals with information to make informed decisions, and promoting choice and competition.”
  • Specifically, CMMI announced the discontinuation of several models by Dec. 31, 2025, including the Primary Care First (PCF), Making Care Primary (MCP), the mandatory ESRD Treatment Choices (ETC) and the Maryland Total Cost of Care (TCOC) models.
  • The terminations signal the Trump Administration’s growing focus on regularly assessing whether demonstration models are achieving expected cost savings while maintaining or improving quality of care. Many expect the administration to also take a more contentious...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Payment Models, Provider, Value Based
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