CMS Kicks Off Next Round of Innovation Grants: New Focus on Reducing Post-Acute Costs
Tuesday, May 21, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On May 15, the Center for Medicare and Medicaid Innovation (CMMI) announced that it will distribute a total of $1 billion forawards and evaluation of projects that test new payment and service delivery models for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollees. 

Who Can Apply? Eligible applicants include, but are not limited to: provider groups, health systems, payers and other private sector organizations, faith-based organizations, states, local governments, public-private partnerships and for-profit organizations.

Deadlines: All applicants are required to submit non-binding letters of intent between June 1 until June 28, 2013 3pm EDT. Failure to submit a letter of intent to apply will disqualify the application form that organization submits from being reviewed.Application must be submitted between June 14 until August 15, 2013 3pm EDT.

What is the Focus? In this round, CMMI specifically seeks new payment models to support the service delivery models. Consequently, all applicants must submit the design of a payment model that is consistent with the new service delivery model that they propose.

Project to be funded must focus on:
  1. rapidly reduce costs for Medicare, Medicaid and CHIP outpatient and post-acute care costs;
  2. improve care for populations with specialized needs;
  3. improve clinical and financial models for specific provider types; and
  4. improve care through population-based approaches defined by geography or socioeconomic class.
CMS Priorities

For the post-acute model, projects should address diagnostic services, outpatient radiology, physician-administered drugs, home-based services and post-acute care.

In the model for improving care for populations with specialized needs, CMMI is looking to prioritize will high-cost pediatric populations, children in foster care, children at risk for dental disease, adolescents in crisis, people with Alzheimer's, those requiring long-term support and services, and those with serious behavioral health needs.

In models that test financial and clinical models for providers, priority will be given to models designed for physician specialties and sub-specialties like oncology and cardiology. Other priorities include pediatric providers for children with complex medical issues.

The fourth model population can be defined geographicallyby those with a specific disease or by socioeconomic class. Projects should focus on engaging beneficiaries through activities on prevention, wellness and comprehensive care beyond clinical care settings.

To review additional specifications of the grant and download the Funding Opportunity Announcement, click here. 
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