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CMMI New Initiative Round-Up

The Center for Medicare and Medicaid Innovation (CMMI) announced several initiatives last week—some of which provide opportunities for VNAA members. This flurry of activity is likely only the beginning of what may be a very busy 18-24 months for CMMI as the current administration winds down.

Here's what VNAA heard about last week:

Advanced Primary Care Initiatives

CMMI released a Request for Information (RFI) to obtain stakeholder input on initiatives to test innovations in advanced primary care that encourage more comprehensiveness in primary care delivery; improve the care of complex patients; facilitate robust connections to community-based services; and move reimbursement from encounter-based towards value-driven, population-based care. CMS encourages a broad range of stakeholders to provide input, including consumers and consumer organizations, health care providers, associations, purchasers and health plans, Medicaid agencies and other state offices, quality review organizations, social service providers, HIT vendors, and others. Responses to the RFI will be used to develop new funding opportunities through CMMI. VNAA encourages home health providers in particular to review the RFI and identify opportunities to demonstrate how the services you provide assist in managing the primary care needs of Medicare and Medicaid beneficiaries. Comments are due March 16, 2015. For more information, click here.

Oncology Care Model

CMMI announced a new value-based purchasing opportunity through which physician practices may receive a bundled payment for six months of services provided to individuals receiving chemotherapy. Among other requirements, participants must be able to provide 24-hour access to practitioners for beneficiaries undergoing treatment and coordinated, person-centered care - both areas where VNAA members excel. CMS is also encouraging other payers to follow its lead, including states and commercial insurers. CMS will host an introductory webinar this coming Thursday, Feb. 19 from 12:00  - 1:00 p.m. Advance registration is not necessary; webinar access is available here. More information can be found at: http://innovation.cms.gov/initiatives/Oncology-Care/. Members may consider whether this provides as opportunity to approach physician groups and payers for collaboration.

Partnership for Patients

CMMI has put a bid out to continue the Hospital Engagement Networks as part of the Partnership for Patients (PfP). The PfP initiative seeks to reduce hospital-acquired infections and the number of unnecessary readmissions by providing hospitals with technical assistance. While this particular initiative does not explicitly provide funding for home health, hospice, or palliative care providers, it demonstrates CMS' continued focus on patient safety and reduction in readmissions as key quality indicators. These will continue to influence hospitals' interests in any delivery system initiatives they develop with other providers. More information on the PfP can be found here.

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