Commonwealth Fund April 28, 2022
Corinne Lewis, Melinda K. Abrams, Shanoor Seervai, Celli Horstman, David Blumenthal

The U.S. health care system has long been marked by high spending, comparatively poor health outcomes, inequities, waste, and inefficiency. To address these issues, the Affordable Care Act (ACA) includes several provisions to reform how the nation organizes, structures, and pays for its health care. The law instituted several mandatory national payment reforms through the Medicare program and created the Center for Medicare and Medicaid Innovation (CMMI), which was funded with $10 billion every 10 years to develop, test, and promote innovative payment and delivery models. Below is a summary of evidence from some of the major innovations tested by CMMI since its inception.

Overall, these initiatives transformed health care delivery and payment across the United States, and many have...

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), Bundled Payments, CMS, Govt Agencies, Insurance, Medicaid, Medicare, Payer, Payment Models, Provider, Value Based
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