Health Affairs May 30, 2017
Thomas W. Grannemann and Randall S. Brown

It’s time to take a fresh look at how the Centers for Medicare and Medicaid Services (CMS) designs its initiatives to test new models of provider payment and care delivery. As highlighted recently in the Health Affairs Blog by Tim Gronniger and colleagues, the new administration faces important choices about imposing requirements that support more rigorous and informative evaluations of new models on providers.

With the recent widespread implementation of alternative payment models (APMs), strong designs are needed more than ever to provide evidence for policy decisions about model expansion, modification, or termination for Center for Medicare and Medicaid Innovation (Innovation Center) initiatives. However, policy decisions to pursue designs with mandatory participation or random assignment can be difficult when providers...

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), CMS, EMR / EHR, Health IT, Health System / Hospital, MACRA, Medicare, Patient / Consumer, Payer, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt), Value Based
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