CMS' most successful alternative payment models

CMS has launched more than 50 savings model programs since the agency's innovation center was created in 2010, according to the Center for Medicaid and Medicare Innovation's 2022 Report to Congress. 

Though many models have been tested, only a few have clearly emerged as successful at reducing costs and improving outcomes, according to the report. 

Six models led to statistically significant savings: 

  • Pioneer ACO Model
  • ACO Investment Model
  • Medicare Prior Authorization Model: Repetitive Scheduled Non-Emergent Ambulance Transport
  • Home Health Value-Based Purchasing Model
  • Maryland All-Payer Model
  • Medicare Care Choices Model 

Two models, the Pioneer ACO Model and the Medicare Care Choices Model, also showed significant improvements in care quality, according to the report. 

An additional four models led to gross, but not net, savings: 

  • Comprehensive Care for Joint Replacement Model
  • Comprehensive End-Stage Renal Disease Care Model
  • Oncology Care Model
  • Million Hearts: Cardiovascular Disease Risk Reduction Model

Read the full report here. 

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