Medicare Payment Reform’s Next Decade: A Strategic Plan For The Center For Medicare And Medicaid Innovation

Health Affairs December 18, 2020
Amol S. Navathe, Ezekiel J. Emanuel, Sherry Glied, Farzad Mostashari, Bob Kocher

The federal government is facing a fiscal crisis with impending insolvency of the Medicare Trust Fund in 2024, a long-standing challenge accelerated by the COVID-19 Public Health Emergency. Health care continues to be unaffordable for many Americans with persistent health inequities, for those of low socioeconomic status, and for those in minority communities. Addressing the short- and long-run problems of the Medicare Trust Fund and health care affordability will require improving the efficiency of health care delivery, achieved by reducing payment rates and decreasing service volume (i.e. overuse or redundant care) while maintaining or improving quality.

The Center For Medicare And Medicaid Innovation (CMMI) is one mechanism to improve efficiency. The first 10 years of CMMI saw numerous models of...

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