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Want Healthcare for All? Ditch Fee-for-Service, Says Former CMS Chief

'We should move to global budgets as soon as possible,' says Donald Berwick ....

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MedPAC May Tell Medicare to Slim Down Its Alternative Payment Offerings

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WASHINGTON The Centers for Medicare & Medicaid Services (CMS) should reduce its portfolio of alternative payment models, according to a draft recommendation released by the Medicare Payment Advisory Commission (MedPAC).
I think there s merit in streamlining the models, commission member Brian DeBusk, PhD, CEO of DeRoyal Industries in Powell, Tennessee, said Thursday at MedPAC s March meeting. Medicare might welcome the relief; I m sure they get pressed from a lot of different sides to pursue a lot of different programs.
DeBusk was responding to a draft recommendation written by MedPAC staff for possible inclusion in the commission s annual June report to Congress. The draft recommendation said that The [Health and Human Services] Secretary should implement a more coordinated portfolio of fewer alternative payment models (APMs) that support the strategic objectives of reducing spending and improving quality. ....

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CMS Evaluation of Innovation Center Models

Friday, February 5, 2021
On January 13, 2021, Brad Smith, the fourth director of the Center for Medicare and Medicaid Innovation (the “
Center”), published an article[1] in the New England Journal of Medicine in which he evaluates the Center’s performance over its decade-long history against the Center’s stated goals – to decrease health care spending and improve health care quality. Smith describes an underwhelming showing from the Center and puts forward several key lessons from the Center’s past performance as a way to inform and improve future performance.
Ten Years With Very Little to Show
Over the past ten years, the Center has used $20 billion to launch 54 payment models – all payment models targeting various areas of the health care sector with almost 1 million participating health care providers and approximately 26 million covered patients. Despite this financial outlay and scope, most of the Center’s models have operated at ....

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