Boehler, Proponent of Post-Acute Care Bundles, to Leave Role as CMMI Chief

Adam Boehler will leave his position as the chief of the federal government’s top incubator for new payment models after an appointment to another office.

President Trump late Wednesday nominated Boehler — who has served as director of the Center for Medicare & Medicaid Innovation (CMMI) since April 2018 — to become the CEO of the United States International Development Finance Corporation.

Bloomberg Law first reported that the move was forthcoming Wednesday morning, citing internal sources.


Boehler, whose titles also include senior advisor to Department of Health and Human Services (HHS) secretary Alex Azar and deputy Centers for Medicare & Medicaid Services (CMS) administrate, will continue in his current roles until his confirmation to the new position, Bloomberg Law reported.

“Secretary Azar and HHS appreciate the leadership and experience that Mr. Boehler has brought to the department,” an HHS spokesperson told the publication.

A former industry executive who founded home health provider Landmark Health and lab benefit management company Avalon Health Solutions, Boehler was a major cheerleader for new value-based care models — including a proposed dialysis payment system with potential implications for the skilled nursing world unveiled earlier in the day Wednesday.


“Today, we announced the most important changes in decades to how we approach treatment and prevention of #kidney disease,” Boehler wrote on Twitter; he also helped to roll out the model with public comments in Washington, D.C.

This past April, Boehler publicly expressed support for bundled payment models specifically for post-acute care providers, telling a gathering of the American Hospital Association that he had heard significant interest in the subject from stakeholders in the industry.

“We’ve heard a lot of comment there, and I think we are interested in the concept of acute-care bundles,” Boehler said, according to a report from Modern Healthcare. “Now is the time to raise ideas there.”

Skilled nursing facilities and other post-acute providers have been left out of the most recent update to the government’s flagship bundled payment model, Bundled Payments for Care Improvement Advanced (BPCI Advanced); unlike in previous iterations, SNFs cannot act as episode initiators, and must instead play a supporting role as conveners.

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