The CMS Innovation Center — A Five-Year Self-Assessment

• Published in: The New England journal of medicine Vol. 372; no. 21; pp. 1981 - 1983
• Main Authors: Rajkumar, Rahul, Press, Matthew J, Conway, Patrick H
• Format: Journal Article
• Language: English
• Published: United States Massachusetts Medical Society 21.05.2015
• Subjects: Centers for Medicare and Medicaid Services (U.S.) - organization & administration; Health care; Health Care Reform; Medicaid; Medicare; Organizational Innovation; Patient Protection & Affordable Care Act 2010-US; Patient Protection and Affordable Care Act; Payments; Program Evaluation; Quality of Health Care; Research Design; Self-assessment; United States; United States; United States > US
• ISSN: 0028-4793; 1533-4406
• DOI: 10.1056/NEJMp1501951

Since 2010, the Center for Medicare and Medicaid Innovation has launched 26 new payment and service-delivery models. Results have been mostly positive to date, though the Center has also faced challenges — beginning with the difficulty of measuring quality in health care. Nearly 5 years ago, the Centers for Medicare and Medicaid Services (CMS) launched the Center for Medicare and Medicaid Innovation, with a mandate — outlined in the Affordable Care Act (ACA) — “to test innovative payment and service delivery models to reduce program expenditures . . . while preserving or enhancing the quality of care” for Medicare, Medicaid, and Children's Health Insurance Program (CHIP) beneficiaries. 1 The Innovation Center received an appropriation of $10 billion for fiscal years 2011 through 2019 to work on transforming the U.S. delivery system. CMS has a long history of conducting demonstration projects to test new payment and . . .