Verma: Alternative Payment Model Performance ‘Deeply Concerning,’ More Mandatory Programs Ahead

The nation’s top Medicare official this week expressed serious disappointment in the performance of alternative Medicare payment models, citing key design flaws and promising more mandatory programs to come. The Centers for Medicare & Medicaid Services (CMS) recently completed an analysis of several early attempts at value-based payment structures, with administrator Seema Verma disappointed in […]

CMS Taps Anthem Vet Smith for Top Innovation, Value-Based Care Posts

The federal government on Monday announced the appointment of Brad Smith, a health care and insurance industry veteran, as the next head of the Center for Medicare & Medicaid Innovation (CMMI). Smith, previously the chief operating officer at insurance giant Anthem’s diversified business group, will additionally serve as senior advisor for value-based transformation to Department […]

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 […]

CMS-Backed Clinical Program Drastically Lowers Avoidable Hospitalizations at SNFs

Potentially avoidable hospitalizations for long-stay nursing facility residents can be significantly reduced by embedding nurses and nurse practitioners, according to a new analysis. In turn, the strategy could substantially slash Medicare spending. That’s according to an independent evaluation of the OPTIMISTIC program prepared at the request of the Center for Medicare and Medicaid Innovation (CMMI). OPTIMISTIC was developed […]