Newsletters

07.01.24

Designing a Medicaid Hospital Global Budget Under CMS’ AHEAD Model

In September 2023, the Centers for Medicare and Medicaid Services (CMS) announced the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, and this week CMS is expected to make a first set of announcements about states set to join the model.


06.27.24

Food for Thought: Expanded Opportunities for Nutrition as Medicine

A recent study published in JAMA estimated that more than six million people in the U.S. have diet-sensitive conditions and activity limitations that could benefit from medically tailored meals, a type of Medically Supportive Food and Nutrition (MSF&N) service.


03.28.24

Understanding CMS’ AHEAD Model: Medicare Hospital Global Budget Design and Implications

The Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services (CMS) recently released initial specifications for its Medicare Hospital Global Budget methodology under the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model.


11.28.23

Understanding CMMI’s Making Care Primary Model

In June 2023, the Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare & Medicaid Innovation (CMMI) announced its newest, voluntary, multi-payer Alternative Payment Model (APM) called Making Care Primary (MCP).


10.05.23

Understanding the New CMMI GUIDE Model

The CMS Center for Medicare and Medicaid Innovation (CMMI) is launching a new Alternative Payment Model (APM) focused on Dementia Care: The GUIDE model. It will launch in July 2024 and run for eight years.


01.25.23

New Federal Guidance on In Lieu of Services

On January 4, the Centers for Medicare & Medicaid Services issued a new State Medicaid Director letter on how states can make expanded use of ILOS authority, including to address social drivers of health.


11.21.22

California to Launch Statewide Medi-Cal Population Health Management Program

California’s Advancing and Innovating Medi-Cal seeks to transform the Medi-Cal (California Medicaid) delivery system for more than 14 million Californians.


07.28.22

Evolving Issues in Designing Local, Whole-Person Care Management Programs in Medicaid

Many state Medicaid programs have prioritized developing and expanding “local, whole-person care management” programs, believing that providing integrated care management closer to where enrollees live and obtain care will be more successful in helping them navigate the health care ...


12.07.21

Supporting the Future of Primary Care in California Through Aligned Hybrid Payment Models

In the decade following the passing of the Affordable Care Act, payers in every state launched new payment models aimed at improving population health, including accountable care organizations and incentives for primary care practices to take on advanced care delivery models known as ...


01.08.19

Application Process for InCK and MOM Models Imminent

During 2018, the Center for Medicare & Medicaid Innovation (CMMI) at the Centers for Medicare & Medicaid Services (CMS) announced two new opportunities for state governments and their partners to improve their delivery systems for children and mothers, respectively, under the Integrated ...