Healthcare Innovation September 5, 2019
Report finds CEC model led to reductions in hospitalizations, readmissions, ED visits
An annual report about the Center for Medicare & Medicaid Innovation’s Comprehensive End Stage Renal Disease Care (CEC) model, said it led to lower spending, improvements in some utilization measures, and no obvious indicators of unintended or adverse consequences.
The CEC Model is an Advanced Alternative Payment Model (A-APM) that creates financial incentives for dialysis facilities, nephrologists, and other Medicare providers to coordinate care for Medicare beneficiaries with ESRD. Because the CEC Model was deemed an A-APM, participating nephrologists could exempt themselves from reporting requirement and payment adjustments under MACRA’s Merit-based Incentive Payment System (MIPS).
In the 37 ESRD Seamless Care Organizations (ESCOs), dialysis clinics, nephrologists and...