Thursday, December 25, 2025

CMS Administrator – Center for Medicare & Medicaid Innovation (CMMI) is in need of a ‘course correction’

“The Center for Medicare & Medicaid Innovation (CMMI) is in need of a ‘course correction,’ top U.S. health care officials believe.”

“Created under the Affordable Care Act, CMMI — also known as the CMS Innovation Center — supports the development and testing of innovative health care payment models. Since its formation, CMMI has developed at least 54 payment models, including the Home Health Value-Based Purchasing Model.”

“As U.S. health care costs continue to rise, CMMI’s work has grown increasingly important, especially around value-based care, according to Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma. National health care spending is expected to grow at an average annual rate of 5.4% from 2019 to 2028, outpacing the gross domestic product’s average annual growth rate of 4.3%.”

“But of those 54 payment models, only a handful appear to be working.”

“In fact, just five have shown statistically significant savings.”

“’In 2019 alone, over 450,000 providers participated [in those models], serving over 26 million patients,’ Verma noted. ‘But more recently, the evaluation data for the early models have been completed. And unfortunately, the results are deeply concerning…’” Read the full article here.

Source: Home Health Value-Based Purchasing Model Set for Nationwide Expansion in ‘Next Year or So’ – By Robert Holly, October 13, 2020. Home Health Care News.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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