A bipartisan group of House members sent a letter to the House speaker and Democratic leader urging them to avert an $8 billion cut to Medicaid disproportionate share hospital payments on Oct. 1. America's Essential Hospitals helped build momentum for the letter signing campaign.
view more »America's Essential Hospitals calls on Senate leaders to reject a House proposal to impose work requirements for Medicaid as part of negotiations to raise the nation's debt limit, saying the plan would jeopardize access to care and harm communities.
view more »CMS Innovation Center Shares Progress Report, Specialty Care Plans
Nov. 10, 2022 ||The CMS Innovation Center shares a progress report on its 10-year strategy and a blog post announcing plans to improve integrated specialty care.
view more »CMS Delays Indefinitely Radiation Oncology Model
Aug. 30, 2022 ||CMS on Aug. 29 finalized its decision to delay indefinitely implementation of the Radiation Oncology Model, which was scheduled to start Jan. 1, 2023.
view more »On the Hill: Biden Signs Omnibus Spending Bill
March 15, 2022 ||President Joe Biden signed a $1.5 trillion fiscal year 2022 spending package; he already signed a four-day continuing resolution to provide time for the omnibus spending measure to move forward.
view more »Engaging Essential Hospitals in Value-Based Care
Dec. 16, 2021 ||In a new white paper, America's Essential Hospitals discusses essential hospitals' role in value-based payment models and makes recommendations to the Center for Medicare and Medicaid Innovation on improving equity through broader model participation.
view more »CMS Innovation Center Outlines Strategy for Next Decade
Oct. 25, 2021 ||A new Center for Medicare and Medicaid Innovation white paper outlines a strategy to advance health system transformation. The goal is to achieve equitable outcomes by driving accountable care, advancing health equity, supporting innovation, addressing affordability, and creating partnerships.
view more »CMS Announces New Direct Contracting Model for Dual Eligibles
Jan. 12, 2021 ||Managed care organizations can participate in direct contracting for their populations dually eligible for Medicare and Medicaid. The model builds on direct contracting opportunities that test risk-sharing arrangements to reduce Medicare expenditures while preserving or enhancing quality of care.
view more »HHS Finalizes Changes to Stark Law and Anti-Kickback Statute
Nov. 23, 2020 ||The Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) finalized rules in conjunction with HHS' regulatory sprint to coordinated care. The OIG rule modifies safe harbor protections; CMS’ rule targets undue burden of the physician self-referral law, or Stark law.
view more »CMS, OIG Propose to Modify Fraud and Abuse Laws
Oct. 10, 2019 ||The proposed rules seek to eliminate barriers to promoting care coordination under current fraud and abuse laws; comments are due to the agencies Dec. 31.
view more »To facilitate multi-payer alignment for ambulance services, the Center for Medicare and Medicaid Innovation will provide an interactive learning system with targeted learning opportunities for state Medicaid programs.
view more »HHS Seeks Innovations for Emergency Response, Recovery
July 19, 2019 ||The Office of the Assistant Secretary for Preparedness and Response initiative seeks to harness cutting-edge technologies to support emergency response and recovery. It will kick off with an innovation day event, Aug. 7–8, to engage with stakeholders.
view more »The two mandatory payment models will test prospective episode-based payments for radiation oncology therapy and end-stage renal disease treatment.
view more »CMS Requests Letters of Intent for Direct Contracting Models
May 21, 2019 ||Providers interested in the professional or global options under the new Primary Cares Initiative must submit a nonbinding letter of intent by Aug. 2.
view more »CMS Seeks Feedback on Section 1332 Waivers
May 6, 2019 ||In a new request for information, the agency seeks ideas for innovative programs and waiver concepts states could consider in developing Section 1332 waivers. The request follows October 2018 guidance aimed at increasing state flexibility.
view more »CMMI Announces New Primary Care Models
April 25, 2019 ||The Primary Cares Initiative comprises five new voluntary payment model options under two paths. The new models build on the experience of the Medicare Shared Savings Program and Next Generation Accountable Care Organization model.
view more »CMS Toolkit Highlights ACO Care Coordination Work
April 16, 2019 ||The new Care Coordination Toolkit showcases the work of accountable care organizations (ACOs) participating in the Medicare Shared Savings Program and Next Generation ACO Model. The agency also released a set of case studies describing innovation ACO initiatives.
view more »CMS Announces Maternal Opioid Misuse Model
Oct. 29, 2018 ||The Maternal Opioid Misuse model will last five years and support the integration of clinical care with other services critical for health, well-being, and recovery for pregnant and postpartum Medicaid beneficiaries.
view more »On the Hill: Congress Recesses Until After Elections
Oct. 16, 2018 ||Senators left Washington earlier than expected to campaign for midterm elections after confirming 15 federal judicial nominees and failing to overturn a regulation expanding short-term insurance plans.
view more »Innovation and Adaptation: 3 Key Insights from VITAL2018
Aug. 8, 2018 ||Front-line staff engagement, patient empowerment, and collaboration were key themes in our VITAL2018 sessions focused on innovation and adaptation.
view more »6 Key Takeaways from a Trove of VITAL2018 Insights
June 28, 2018 ||More than 300 hospital and health system leaders came together in San Francisco for three days to foster their shared mission to champion excellence in health care for all.
view more »CMS Hosts Webinar on Physical, Mental Health Integration
March 1, 2018 ||The Innovation Accelerator Program's March 26 webinar will focus on administrative and regulatory barriers to physical and mental health integration in the Medicaid program.
view more »Essential Hospital Targets Heart Disease with Health IT
Feb. 28, 2018 ||Henry Ford Health System, in Detroit, used electronic health records to decrease venous thromboembolism and improve preventive care, saving $1.44 million in direct costs and up to $3 million systemwide annually.
view more »The Centers for Medicare & Medicaid Services is giving up to 10 states the opportunity to participate in the program to design, develop, and implement value-based payment approaches.
view more »CMS Events Focus on Innovation Accelerator Program
Jan. 12, 2018 ||The Centers for Medicare & Medicaid Services will host an information session and a series of four webinars in the coming weeks to provide information on new opportunities for states.
view more »Association Submits Response to Innovation Center New Direction
Nov. 20, 2017 ||In response to the request for information, the association encouraged flexibility and a focus on hospitals treating high numbers of complex patients.
view more »CMS Seeks New Direction for Innovation Center
Sept. 22, 2017 ||CMS is seeking broad feedback on a new direction for the Centers for Medicare & Medicaid Innovation, with increased emphasis on patient-centered care and market-based reforms.
view more »CMS Approves Extension of Florida Medicaid Waiver
Aug. 4, 2017 ||The decision extends by five years the state's demonstration of a capitated Medicaid managed care program and a low-income pool to provide support for the safety net.
view more »CMS Approves Alaska’s Section 1332 Waiver
July 12, 2017 ||This is the second Section 1332 State Innovation Waiver to receive approval; Alaska is pursuing the waiver to stabilize the state's individual health care market.
view more »CMS To Host Webinar on Substance Use Disorder Treatment
June 9, 2017 ||The webinar on June 28 will focus on the Medicaid Innovation Accelerator Program's Reducing Substance Use Disorders program area.
view more »CMS Extends Deadline for Medicaid Housing Program
June 8, 2017 ||States have until June 12 to complete an expression of interest form for the Medicaid Innovation Accelerator Program track.
view more »CMS Checklist Helps States Apply for Section 1332 Waivers
May 18, 2017 ||The new checklist tool helps states compile the necessary documents to apply to waive ACA provisions and pursue alternative reforms.
view more »RWJF, UK Launch Health Security Challenge
April 11, 2017 ||The challenge aims to promote innovation using the National Health Security Preparedness Index; submissions are due July 31.
view more »CMS Selects Participants for Accountable Health Communities Model
April 11, 2017 ||Over a five-year period, CMS will test the three-track AHC model, which aims to support health-related social needs of Medicare and Medicaid beneficiaries.
view more »Next Generation ACO Application Portal Open
March 7, 2017 ||A series of forums will provide information on the Next Generation ACO Model; a separate CMS webinar will outline the Medicare ACO Track 1+ Model.
view more »New UCSD Tool Speeds Up ID of Bacteria in Blood
Feb. 15, 2017 ||University of California-San Diego researchers have found a way to detect harmful chemicals in a blood sample in mere hours, with 99 percent accuracy.
view more »NYC Health+Hospitals Overcomes Challenges to Post-Acute Care
Feb. 10, 2017 ||Under the “Better Way to Live” program, 62 “alternative level of care” patients have been successfully transitioned to a post–acute care facility.
view more »CMS Approves First Section 1332 Waiver
Jan. 6, 2017 ||Hawaii is the first state to receive approval for a Section 1332 waiver, and will be allowed to close its Small Business Health Options Program for five years.
view more »CMS Innovation Center Releases New Patient Engagement Models
Dec. 9, 2016 ||The two new Beneficiary Engagement and Incentives models test different shared decision-making approaches designed to increase patient engagement.
view more »CMS Releases Toolkit To Help Stakeholders Develop APMs
Nov. 4, 2016 ||It outlines factors stakeholders should focus on when designing alternative payment models, including type to propose, how to measure improvements, and more.
view more »Pokémon Go Helps Harborview Patients Heal
Aug. 11, 2016 ||Pokémon Go, the augmented-reality game, has helped pediatric patients at Seattle's Harborview Medical Center recover from burn injuries.
view more »CMS Announces $8 Million for Quality Improvement Projects
April 6, 2016 ||Special Innovation Project grants will be awarded to 28 partnerships with QIN-QIOs to support and scale quality improvement projects. Projects should aim to provide Medicare beneficiaries with better care, better health, and greater value.
view more »3D Printers Help Surgeons Prep for the OR
April 5, 2016 ||Surgeons and medical residents at The University of Kansas Hospital can use MRI or CT scan data to print replicas of patients’ surgical sites.
view more »Innovative Tool Enhances Breast Cancer Care
March 30, 2016 ||Einstein Medical Center first in Philadelphia to use new device to detect cancer cells during lumpectomies, reducing the risk of repeat operations by up to 50 percent.
view more »First Hospital Makerspace Taps into Nurses’ Talents
Feb. 9, 2016 ||In September 2015, the University of Texas Medical Branch opened the nation’s first medical makerspace, a do-it-yourself area for nurses to brainstorm and invent solutions for better patient care.
view more »Henry Ford Brings Cutting-Edge Technology to Brain Center
Jan. 29, 2016 ||Detroit hospital among first in nation to deploy state-of-the-art BrightMatter brain surgery technology, which will make possible operations that previously were too risky to perform.
view more »HHS Announces New Health IT Strategic Plan
Sept. 23, 2015 ||The Federal Health IT Strategic Plan: 2015–2020, aims to improve health IT infrastructure, transform health care delivery, and improve individual and community health.
view more »On the Hill: Government Funding, Hospital Bills, Mental Health
Sept. 9, 2015 ||Planned Parenthood remains an issue in government funding. Congress considers hospital bills, Medicare Part B premiums, medical innovation, health care competition, and Medicaid fraud and abuse, vows to focus on mental health.
view more »States Can Waive ACA Provisions with Alternative Coverage Plans
July 29, 2015 ||Plans must be budget-neutral and cover as many people as traditional ACA reforms. With these waivers, states may forgo certain ACA provisions including the marketplaces and individual mandate.
view more »On the Hill: Budget, 21st Century Cures, GME
May 5, 2015 ||The Senate takes up the House-passed budget resolution. Both the House and Senate are focused on medical innovation as the next major health push.
view more »On the Hill: FDA Approval Process, SGR, Budget
March 10, 2015 ||Senate HELP Committee to examine changes that could improve FDA process without compromising safety
view more »