Healthcare Innovation April 19, 2024
David Raths

Both states applying to participate in CMS’ AHEAD model have experience with healthcare payment and delivery system reform

Both Maryland and Vermont have applied to participate in the Centers for Medicare and Medicaid Services’ States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model.

AHEAD is a state-level total cost of care (TCOC) model that seeks to drive state and regional healthcare transformation and multi-payer alignment.

The model would be in place for up to nine performance years, through 2034. The intent is to allow adequate time for changes in care delivery to be designed and implemented and for those changes to impact outcomes for the state’s residents.

Under a TCOC approach, a participating state uses its authority...

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Topics: CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Payer, Provider, States
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