Health Affairs November 17, 2025
Gita Deo, Abe Sutton

At the CMS Innovation Center, we’ve launched a new strategy rooted in evidence-based solutions to drive efficiency and reduce unnecessary spending, while ensuring care remains safe, effective, and patient-centered.

Our strategy to protect patient care and taxpayer dollars is focused on:

  • Prioritizing high-value care and reducing unnecessary procedures
  • Embedding downside risk into all alternative payment models
  • Refining and simplifying model benchmarking methodology

This approach reflects 15 years of Innovation Center research, experience, and learnings being applied across a new generation of payment models.

Proven Strategies: Putting Evidence Into Action

Prioritizing High-Value Care

Imagine undergoing an invasive medical procedure that provides no clinical benefit. In addition to potentially harming the health of people with Medicare, inappropriate services waste taxpayer...

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Topics: CMS, Govt Agencies, Patient / Consumer, Payment Models, Provider, Value Based
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