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Emphasis on Prevention and Personal Empowerment: The strategy focuses on transforming the U.S. health system by emphasizing disease prevention, individual empowerment, and promoting choice and competition in healthcare delivery.
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Shift to Value-Based Care: The Innovation Center plans to test models that move away from volume-based payments, aiming to improve care quality and reduce costs through value-based care approaches.
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Incorporation of Financial Risk for Providers: All new models will include downside financial risks, meaning providers could face financial penalties if they fail to meet cost or quality benchmarks.
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Budget Allocation: The Center has a $10 billion budget over a decade to experiment with alternative payment models in Medicare and Medicaid, aiming to save taxpayer dollars and enhance care quality.
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Inclusion of Evidence-Based Alternative Medicine: Future models may offer access to evidence-based alternative medicine options, expanding the scope of care available to patients.
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Cancellation of Certain Payment Trials: The Innovation Center plans to cancel six payment trials, including Making Care Primary and Primary Care First, to focus on models that align with the new strategy and have a higher likelihood of success.
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Focus on Models Likely to Meet Expansion Criteria: The Center aims to prioritize models that are likely to meet criteria for expansion, supporting the public health agenda of HHS Secretary Robert F. Kennedy Jr.
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Acknowledgment of Challenges in Preventive Care Savings: Experts caution that preventive care may not yield immediate cost savings, highlighting the need for careful evaluation of new models.
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Leadership Under Abe Sutton: The strategy is outlined under the leadership of Director Abe Sutton, who emphasizes transforming the health system through prevention and individual empowerment.
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Alignment with Broader Health Policy Goals: The strategy reflects broader support within the Trump administration for transitioning to value-based care and realigning incentives in healthcare.
For more detailed information, you can read the full strategy document on the CMS website here.
