The Center for Medicare and Medicaid Innovation is Introduced

Center for Medicare and Medicaid Innovation

| Dec 18, 2010

Very recently, the Obama Administration announced some new initiatives with regard to the new healthcare law, in what could be one of the biggest and farthest-reaching benefits of the Affordable Care Act. The $10 billion, 10-year plan is being spearheaded by the Center for Medicare and Medicaid Innovation (CMMI), which was created by the Affordable Care Act.

This new Center was born out of what many people on all sides of the political spectrum believe is a broken healthcare system. While the Affordable Care Act faced opposition and controversy, this initiative is gaining much support from politicians, patients, insurance companies, and corporations.

According to the CMMI website, "The ultimate goal of the Center for Medicare and Medicaid Innovation (the Innovation Center) is to produce better experiences of care and better health outcomes for all Americans and at lower costs through improvements. In partnership with the healthcare industry, the business community, and of course, the patients and families who rely on the healthcare system day in and day out, the Innovation Center will ultimately scale new care and payment models that improve and sustain the Medicare and Medicaid/CHIP programs for our beneficiaries and ultimately the healthcare system at large." Approximately 90 million Americans are currently on Medicare or Medicaid.

The Innovation Center will play several roles, including:

●      Consulting with stakeholders across the healthcare sector, including hospitals, doctors, consumers, payers, states, employers, advocates, relevant federal agencies, and others, to obtain direct input on its operations and to build partnerships with those interested in its work

●      Testing models that include establishing an "open innovation community" that serves as an information clearinghouse of best practices in healthcare innovation.

●      Creating learning communities that help other providers rapidly implement these new care models.

●       Testing "health home" and "medical home" concepts

The Center will begin by working with physician practices in eight states to help primary care doctors better coordinate the care their Medicare patients get throughout the medical system. The states are Maine, Vermont, Rhode Island, New York, Pennsylvania, North Carolina, Michigan, and Minnesota; several already have private-sector or state-led programs underway. They will also target hundreds of federally funded health clinics, which provide primary care to millions of poor Americans on Medicaid. In 2011, the center will award $1 million grants to help states develop other programs to coordinate care and improve quality for poor seniors.

"This is an important step," said Dr. Mark McClellan, who headed the Medicare and Medicaid programs under President George W. Bush. "Even if there are big disagreements about the role of government ... hopefully, we'll find some ways to find bipartisan agreement to do some of the things that improve care."



LA Times


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Posted by Docwithdiabetes on 25 December 2010

I am a phycian and have been in practice for 30 years. It is with dismay that I have observed what has happened in medicine. I practice in one of the states that is one that has been chosen for this pilot program by CMMI, an I am very concerned. We are one of the lowest reimbursed states in the country, and I shudder to think what quill happen when another layerof bureaucracy gets added. I am a surgical sub specialist, and there are procedures for which i am reimbursed less today than in 1981. My income today is less that it was 25 years ago. Within the last 2 years, 4 of my fellow sub specialists have left the state to practice somewhere else ( that is 12% of our group of physicians). Primary care physicians here have it even worse. Fireman, with there overtime, earn more than your average primary care physicians. We are having are difficult time recruiting any physicians to this state. I think the government's answer will be to use more midlevel providers. I know and respect many PA and nurse practioners, but I I certainly would not want them to be my primary care provider.
Being a diabetic, I have seen first hand the cost of these products and it is appalling. I find this extremely difficult to accept, when I read the salary of the CEO of one of the pharmacy chains was 55 million last year. And the salary of one of the ceo's of one of the larger hospital groups was also in the millions ( maybe they deserves it, but I don't se why).

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