Creating Anchors in Percussion

Innovations Page

<div xmlns:o="urn:www.microsoft.com/office" xmlns:st1="urn:www.microsoft.com/smarttags" xmlns:st2="urn:www.microsoft.com/smarttags2" xmlns:w="urn:www.microsoft.com/word" xmlns:x="urn:www.microsoft.com/excel" class="rxbodyfield">
<p>The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.</p>

<hr />
<p>The Innovation Models on this page are organized into the following categories:</p>

<ul>
<li><a href="#accelerating">Accelerating the Development and Testing of New Payment and Service Delivery Models</a></li>

<li><a href="#accountable">Accountable Care</a></li>

<li><a href="#coordination">Care Coordination</a></li>

<li><a href="#redesign">Care Redesign and Episode-Based Payments</a></li>

<li><a href="#medicaid">Medicaid and Medicare-Medicaid Dually Enrolled Focused Initiatives</a></li>

<li><a href="#payment">Payment Focused Innovation</a></li>

<li><a href="#population">Population and Community Health</a></li>

<li><a href="#primary">Primary Care Transformation</a></li>

<li><a href="#speeding">Speeding the Adoption of Best Practices</a></li>
</ul>

<hr />
<div class="inno-listing">
<h3 id="accelerating">Accelerating the Development and Testing of New Payment and Service Delivery Models</h3>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=45&#38;sys_contentid=1121&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1121" sys_dependentid="1121" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20867" sys_siteid="317" sys_variantid="574">Health Care Innovation Awards</a>&#160;</h5>

<p>Supports local innovations with a focus on developing the workforce for new care models.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=23&#38;sys_contentid=1649&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1649" sys_dependentid="1649" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20868" sys_siteid="317" sys_variantid="574">State Innovation Models Initiative</a></h5>

<p>Supports states designing and testing plans for health care delivery system transformation in their state.</p>

<h3 id="accountable">Accountable Care</h3>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=14&#38;sys_contentid=1041&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1041" sys_dependentid="1041" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20869" sys_siteid="317" sys_variantid="574">Accountable Care Organizations (ACOs), General Info Page</a></h5>

<p>Groups of health care providers working together to improve the coordination and quality of care while reducing costs.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=16&#38;sys_contentid=1044&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1044" sys_dependentid="1044" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20870" sys_siteid="317" sys_variantid="574">Pioneer ACO Model</a></h5>

<p>Rewards groups of health care providers experienced in working together to coordinate care.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=34&#38;sys_contentid=1146&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1146" sys_dependentid="1146" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20871" sys_siteid="317" sys_variantid="574">Advance Payment ACO Model</a></h5>

<p>Provides up-front and monthly payments to ACOs participating in the Medicare Shared Savings Program.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1198992.html">Physician Group Practice Transition Demonstration</a></h5>

<p>A precursor to the Medicare Shared Savings Program; rewards physician groups for efficient care and high quality.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1202809.html">Private, For-profit Program of All-Inclusive Care for the Elderly (PACE) Demonstration</a></h5>

<p>Studies the quality and cost of providing PACE program services under the Medicare and Medicaid programs.</p>

<h3 id="coordination">Care Coordination</h3>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1198967.html">Care Management for High Cost Beneficiaries Demonstration</a></h5>

<p>Tests a pay-for-performance contracting model and new intervention strategies for Medicare fee-for-service (FFS) beneficiaries, who are high cost and who have complex chronic conditions.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1198864.html">Medicare Coordinated Care Demonstration</a></h5>

<p>Tests whether providing coordinated care services to Medicare beneficiaries with complex chronic conditions can yield better patient outcomes without increasing program costs.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=28&#38;sys_contentid=1253&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1253" sys_dependentid="1253" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20872" sys_siteid="317" sys_variantid="574">Community-based Care Transitions Program</a></h5>

<p>Supporting community-based organizations to reduce readmissions by improving transitions of high-risk Medicare beneficiaries from the inpatient hospital setting to home or other care settings.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS023618.html">Medicare Health Care Quality Demonstration</a></h5>

<p>Tests major changes to improve quality of care while increasing efficiency across an entire health care system.</p>

<h3 id="redesign">Care Redesign and Episode-Based Payments</h3>

<p>Coordinates and improves acute and post-acute care by paying once for an entire episode of care.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=29&#38;sys_contentid=1340&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1340" sys_dependentid="1340" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20873" sys_siteid="317" sys_variantid="574">BPCI Model 2: Retrospective Acute &#38; Post Acute Care Episode</a></h5>

<p>Supports care coordination through a single payment for inpatient and post-acute care.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=33&#38;sys_contentid=1341&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1341" sys_dependentid="1341" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20874" sys_siteid="317" sys_variantid="574">BPCI Model 3: Retrospective Post Acute Care Episode</a></h5>

<p>For an episode of post-acute care, offers a single discounted payment based on historical fee-for-service payments, with further reductions shared among providers. &#160;&#160;</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=28&#38;sys_contentid=1342&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1342" sys_dependentid="1342" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20875" sys_siteid="317" sys_variantid="574">BPCI Model 4: Prospective Acute Care Episode</a></h5>

<p>Provides a single payment to participating hospitals for all services furnished during the inpatient stay.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1186653.html">Physician Hospital Collaboration Demonstration</a></h5>

<p>Examines the effects of gainsharing aimed at improving the quality of care in a health delivery system.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1204388.html">Acute Care Episode (ACE) Demonstration</a></h5>

<p>Test the effect of bundling Part A and B payments for episodes of acute care.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1186805.html">Medicare Hospital Gainsharing Demonstration</a></h5>

<p>Tests and evaluates methodologies and arrangements between hospitals and physicians designed to govern the utilization of inpatient hospital resources and physician work and to develop improved operational hospital performance with the sharing of remuneration.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1222075.html">Medicare Imaging Demonstration</a></h5>

<p>Collects data regarding physician use of advanced diagnostic imaging services to determine the appropriateness of services in relation to medical specialty guidelines.</p>

<h3 id="medicaid">Medicaid and Medicare-Medicaid Dually Enrolled Focused Initiatives</h3>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=65&#38;sys_contentid=1327&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1327" sys_dependentid="1327" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20876" sys_siteid="317" sys_variantid="574">Strong Start for Mothers and Newborns</a></h5>

<p>Reduces elective deliveries prior to 39 weeks and offers enhanced prenatal care to decrease preterm births.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=10&#38;sys_contentid=1422&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1422" sys_dependentid="1422" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20877" sys_siteid="317" sys_variantid="574">Medicaid Emergency Psychiatric Demonstration</a></h5>

<p>Supports treatment for psychiatric emergencies at private psychiatric hospitals.</p>

<h5><a href="http://cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/StateDemonstrationstoIntegrateCareforDualEligibleIndividuals.html">State Demonstrations to Integrate Care for Medicare-Medicaid Enrollees</a></h5>

<p>Supports states to develop person-centered approaches to coordinate care across primary, acute, behavioral health and long-term supports and services for dual eligible individuals.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=13&#38;sys_contentid=1562&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1562" sys_dependentid="1562" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20878" sys_siteid="317" sys_variantid="574">Financial Alignment Initiative for Medicare-Medicaid Enrollees</a></h5>

<p>Enables states to integrate care and payment systems for Medicare-Medicaid enrollees and better coordinate their care.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=44&#38;sys_contentid=1445&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1445" sys_dependentid="1445" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20879" sys_siteid="317" sys_variantid="574">Reducing Avoidable Hospitalization among Nursing Facility Residents Initiative</a></h5>

<p>Offers enhanced clinical services to beneficiaries in extended-care nursing facilities.</p>

<h3 id="payment">Payment Focused Innovation</h3>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1198993.html">Rural Community Hospital Demonstration</a></h5>

<p>Tests the feasibility and advisability of providing reasonable cost reimbursement for small rural hospitals.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1240611.html">Treatment of Certain Complex Diagnostic Laboratory Tests Demonstration</a></h5>

<p>Streamlines payment for certain complex diagnostic laboratory tests.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1198946.html">Nursing Home Value-Based Purchasing Demonstration</a></h5>

<p>Provides incentive payment awards to participating nursing homes that perform the best or improve the most in terms of quality.</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1198957.html">Frontier Extended Stay Clinic Demonstration</a></h5>

<p>Addresses the needs of seriously or critically ill or injured patients who, due to adverse weather conditions or other reasons, cannot be transferred to acute care referral centers, or patients who need monitoring and observation for a limited period of time.</p>

<h3 id="population">Population and Community Health</h3>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1190654.html">Senior Risk Reduction Program</a></h5>

<p>Tests whether health promotion and health management programs that have been developed and tested in the private sector can also be tailored to and work well with Medicare beneficiaries.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=8&#38;sys_contentid=1370&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1370" sys_dependentid="1370" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20880" sys_siteid="317" sys_variantid="574">Incentives for the Prevention of Chronic Disease in Medicaid Demonstration</a></h5>

<p>Supports states that provide incentives to Medicaid beneficiaries of all ages who participate in prevention programs and demonstrate changes in health risk and outcomes, including the adoption of healthy behaviors.</p>

<h3 id="primary">Primary Care Transformation</h3>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=47&#38;sys_contentid=1105&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1105" sys_dependentid="1105" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20881" sys_siteid="317" sys_variantid="574">Comprehensive Primary Care Initiative</a></h5>

<p>Multi-payer initiative providing financial support to primary care practices.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=15&#38;sys_contentid=1118&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1118" sys_dependentid="1118" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20882" sys_siteid="317" sys_variantid="574">FQHC Advanced Primary Care Practice Demonstration</a></h5>

<p>Tests the efficacy of the patient-centered medical home among Federally Qualified Health Centers (FQHCs).</p>

<h5><a href="http://cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1230016.html">Multi-payer Advanced Primary Care Practice Demonstration</a></h5>

<p>CMS is joining in multi-payer primary care initiatives that are currently being conducted within states.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=9&#38;sys_contentid=1524&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1524" sys_dependentid="1524" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20883" sys_siteid="317" sys_variantid="574">Independence at Home Demonstration</a></h5>

<p>Supports home-based primary care for Medicare beneficiaries with multiple chronic conditions.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=33&#38;sys_contentid=1455&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1455" sys_dependentid="1455" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20884" sys_siteid="317" sys_variantid="574">Graduate Nurse Education Demonstration</a></h5>

<p>Supports hospitals for the reasonable cost of providing clinical training to advanced practice registered nursing (APRN) training.</p>

<h3 id="speeding">Speeding the Adoption of Best Practices</h3>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=15&#38;sys_contentid=1138&#38;sys_context=0&#38;sys_siteid=317" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1138" sys_dependentid="1138" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20885" sys_siteid="317" sys_variantid="574">Partnership for Patients</a></h5>

<p>A nationwide public-private partnership that offers support to physicians, nurses and other clinicians working in and out of hospitals to reduce hospital-acquired conditions and readmissions by 40% and 20% respectively in 3 years.</p>

<h5><a href="http://ffx-cms-percdev:6012/Rhythmyx/assembler/render?sys_authtype=0&#38;sys_variantid=574&#38;sys_revision=1&#38;sys_contentid=1842&#38;sys_context=0" inlinetype="rxhyperlink" rxinlineslot="103" sys_contentid="1842" sys_dependentid="1842" sys_dependentvariantid="574" sys_folderid="" sys_relationshipid="20886" sys_siteid="" sys_variantid="574">Million Hearts</a></h5>

<p>National initiative to prevent 1 million heart attacks and strokes over five years; brings together communities, health systems, nonprofit organizations, federal agencies, and private-sector partners from across the country to fight heart disease and stroke.</p>
</div>
</div>