Only five of CMMI’s 54 released models have proven to result in savings, and only four have made their way into becoming Medicare mainstays — with most lacking significant membership and impact, according to Forbes.
Here are four conclusions CMMI has drawn over a decade of experimentation, according to Forbes:
1. Voluntary initiatives narrowed participation as only providers who saw financial gain opted in.
2. Separate alternative payment models and multiple bundles for specialty groups leads to fragmentation, taking away from value-based care.
3. Initiatives like per-member per-month payments only temporarily work, but don’t sustain new practices once phased out.
4. In benchmarking, models need to leverage retrospective benchmarks or prospective ones with guardrails to ensure accuracy and feasibility of approaches.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
