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Medicare Care Choices Model - Frequently Asked Questions

What is the Medicare Care Choices Model (MCCM) testing?

MCCM will test the impact on quality of care and patient and family satisfaction of allowing certain Medicare and dually eligible beneficiaries who qualify for coverage under the Medicare or Medicaid Hospice Benefit to receive palliative care services and curative care at the same time.  Currently, beneficiaries are required to forgo...

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Date: 2018-03-24 12:02:48

Medicare Care Choices Model | Center for Medicare ...

Through the Medicare Care Choices Model, the Centers for Medicare & Medicaid Services (CMS) will provide a new option for Medicare beneficiaries to receive hospice-like support services from certain hospice providers while concurrently receiving services provided by their curative care providers. CMS will evaluate whether providing these supportive services can improve the quality of life and...

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Date: 2018-03-24 12:04:42

About the CMS Innovation Center | Center for Medicare ...


The Innovation Center allows the Medicare and Medicaid programs to test models that improve care, lower costs, and better align payment systems to support patient-centered practices. The Innovation Center carefully evaluates innovative reform efforts widely used in the private sector, and is unique in its ability to develop provider-proposed approaches and quickly adjust models in response...

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Date: 2018-03-24 16:01:41

Innovation Models | Center for Medicare & Medicaid Innovation


The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined - both through the Affordable Care Act and previous legislation - a number of specific demonstrations to be conducted by CMS.

The Innovation Center also plays a critical role in implementing the Quality...

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Date: 2017-12-05 18:05:59

BPCI Advanced | Center for Medicare & Medicaid Innovation

The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) is announcing a new voluntary episode payment model, Bundled Payments for Care Improvement Advanced (BPCI Advanced or the Model) that will test a new iteration of bundled payments for 32 Clinical Episodes and aim to align incentives among participating health care providers for...

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Date: 2018-03-24 02:07:27

Bundled Payments for Care Improvement (BPCI) Initiative ...


The Bundled Payments for Care Improvement (BPCI) initiative is comprised of four broadly defined models of care, which link payments for the multiple services beneficiaries receive during an episode of care. Under the initiative, organizations enter into payment arrangements that include financial and performance accountability for episodes of care. These models may lead to higher quality...

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Date: 2018-03-24 16:01:44

Data & Reports | Center for Medicare & Medicaid Innovation

A public resource designed to bring together high-value datasets, tools, and applications using data about health and health care to support your need for better knowledge and to help you to solve problems. These datasets and tools have been gathered from agencies across the Federal government with the goal of improving health for all Americans. expand Right Caret Read more about...

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Date: 2018-03-08 13:34:05

Related topics : cms medicare and medicaid innovation center / centers for medicare and medicaid services data / centers for medicare and medicaid services cms / centers for medicare & medicaid services cms / centers for medicare and medicaid services baltimore md

Comprehensive Care for Joint Replacement Model | Center ...

Comprehensive Care for Joint Replacement Model


The Comprehensive Care for Joint Replacement (CJR) model aims to support better and more efficient care for beneficiaries undergoing the most common inpatient surgeries for Medicare beneficiaries: hip and knee replacements (also called lower...

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Date: 2018-03-24 12:06:08

Medicare Advantage Value-Based Insurance Design Model ...

Indiana University Health Plans, Inc.

Independence Health Group/Keystone Health Plan East, Inc.

Tufts Associated Health Maintenance Organization

UPMC Health Network, Inc.


Value-Based Insurance Design (VBID) generally refers to health insurers' efforts to structure enrollee cost-sharing and other health plan design elements to encourage enrollees to consume high-value clinical services...

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Date: 2018-03-24 02:06:32

Related topics : advantage plan health insurance / health insurance plans medicare / medicare advantage health plans 2018 / medicare advantage health plans / medicare group health insurance

Comprehensive ESRD Care Model | Center for Medicare ...

Seattle, WA


More than 700,000 Americans have ESRD and require life sustaining dialysis treatments several times per week. Many beneficiaries with ESRD suffer from poorer health outcomes, often the result of underlying disease complications and multiple co-morbidities. These can lead to high rates of hospital admission and readmissions, as well as a mortality rate that is higher than...

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Date: 2018-03-24 16:03:39

Related topics : medicare spending per beneficiary hospital compare / medicare part b payment model / medicare eligibility requirements esrd