July 31, 2023
Tea Leaves | Transition to Value
  • The Center for Medicare and Medicaid Innovation (CMMI) has released a request for information to design a future episode-based payment model. The center is looking for feedback on questions related to care delivery, incentive structure alignment, clinical episodes, participants, health equity, quality measures and multipayer alignment, payment methodology and structure, and model overlap, according to the request. Episode-based payment models intend to address inefficiencies in traditional Medicare fee-for-service beneficiaries, where providers are paid for each item or service. This leads to “volume over value and fragment care,” according to the request. (Article here)