Background on the CMS Innovation Center 2021 Strategy Refresh – Putting All Patients at the Center of Care
Vision: A health system that achieves equitable outcomes through high quality, affordable, person-centered care.
The CMS Innovation Center, having taken stock of lessons learned from its first decade and 50+ models, is charting a path for the next ten years of value-based care -- one that will improve the health system for all patients.
The result: a strategy refresh that drives our delivery system toward meaningful transformation, including focusing on equity in everything we do, paying for health care based on value to the patient instead of the volume of services provided, and delivering person-centered care that meets people where they are.
CMS Innovation Center’s Strategic Objectives
Five strategic objectives will guide the CMS Innovation Center’s implementation of its vision.
Drive Accountable Care
Aim: Increase the number of beneficiaries in a care relationship with accountability for quality and total cost of care.
Accountable care reduces fragmentation in patient care and cost by giving providers the incentives and tools to deliver high-quality, coordinated, team-based care. Models should increase the number of beneficiaries in accountable care relationships with providers, such as advanced primary care providers and ACOs. Quality of care and outcome measures should be measures that matter and include patient values and perspective.
- All Medicare fee-for-service beneficiaries will be in a care relationship with accountability for quality and total cost of care by 2030.
- The vast majority of Medicaid beneficiaries will be in a care relationship with accountability for quality and total cost of care by 2030.
Advance Health Equity
Aim: Embed health equity in every aspect of CMS Innovation Center models and increase focus on underserved populations.
Equity must be considered in all stages of model design, operation, and evaluation, and aligned with other CMS programs and initiatives. The CMS Innovation Center aims to engage providers who have not previously participated in value-based care and ensure that eligibility criteria and application processes do not inadvertently exclude or disincentivize care for specific populations, including patients in rural and underserved communities. The CMS Innovation Center must understand the current impact of its models across all patients, utilizing patient-level demographic data, standardized social needs data, and tracking data on penetration of models in underserved communities.
- All new models will require participants to collect and report the demographic data of their beneficiaries and, as appropriate, data on social needs and social determinants of health (data would be collected in a manner in which PHI complies with HIPAA and other applicable laws).
- All new models will include patients from historically underserved populations and safety net providers, such as community health centers and disproportionate share hospitals.
- Identify areas for reducing inequities at the population level, such as avoidable admissions, and set targets for reducing those inequities.
Support Care Innovations
Aim: Leverage a range of supports that enable integrated, person-centered care - such as actionable, practice-specific data, technology, dissemination of best practices, peer-to-peer learning collaboratives, and payment flexibilities.
The CMS Innovation Center will test approaches to close care gaps and deliver whole-person care by driving progress in areas like integrated care, behavioral health and social determinants of health. Work in this pillar also includes leveraging data, technology, and payment flexibilities to enable care in homes & communities.
- Set targets to improve performance of model participants on patient experience measures, such as health and functional status, or a subset of Consumer Assessment of Healthcare Providers and Systems (CAHPS®, a registered trademark of the Agency for Healthcare Research and Quality) measures that assess health promotion and education, shared decision-making, and care coordination.
- All models will consider or include patient-reported outcomes as part of the performance measurement strategy for the CMS Innovation Center.
Improve Access by Addressing Affordability
Aim: Pursue strategies to address health care prices, affordability, and reduce unnecessary or duplicative care.
The CMS Innovation Center will pursue strategies to address health care prices, affordability, and reduce waste. It seeks to address affordability directly, such as through models that waive cost-sharing for high-value services or focus on moderating drug prices, as well as indirectly, and through models that target low-value care and sources of waste that drive up patient costs and have proven challenging to confront in prior primary care-based models.
- Set targets to reduce the percentage of beneficiaries that forego care due to cost by 2030.
- All models will consider and include opportunities to improve affordability of high-value care for beneficiaries.
Partner to Achieve System Transformation
Aim: Align priorities and policies across CMS and aggressively engage payers, purchasers states, and beneficiaries to improve quality, to achieve equitable outcomes, to reduce health care costs.
The CMS Innovation Center cannot achieve health transformation alone. It requires working across CMS and the entire federal government, as well as working hand-in-hand with health care teams and payers, purchasers, states, providers, patient advocates and patients. Success hinges on multi-payer alignment on clinical tools, outcome measures, payment, and policy approaches and building the capacity to transform health care.
- Where applicable, all new models will make multi-payer alignment available by 2030.
- All new models will collect and integrate patient perspectives across the life cycle.
Questions and Feedback
Submit questions or feedback on the strategy to CMMIStrategy@cms.hhs.gov
- Person-Centered Innovation – An Update on the Implementation of the CMS Innovation Center’s Strategy (PDF) | Supplemental Technical Document (PDF)
- CMS Innovation Center's Approach to Person-Centered Care Listening Session - Elevating the Care Experience Across Models to Improve Outcomes and Equity - November 15, 2023: Slides (PDF) | Transcript (PDF) | Recording (MP4)
- CMS Innovation Center's Person-Centered Care Listening Session - Commitment to Patient Partnership Across the Model Lifecycle - Friday, March 31, 2023: Slides (PDF) | Transcript (PDF) | Recording (YouTube)
- CMS Innovation Center's Specialty Care Strategy Listening Session - Thursday, December 1, 2022: Slides (PDF) | Transcript (PDF) | Recording (MP4)
- Second Roundtable on Safety Net Provider Participation in CMS Innovation Center Models - November 3, 2022: Slides (PDF) | Transcript (PDF) | Recording (MP4)
- Webinar - The CMS Innovation Center’s Approach to Person-Centered Care: Engaging with Beneficiaries, Measuring what Matters - September 20, 2022 - More Info | Slides (PDF) | Transcript (PDF) | Recording (MP4)
- Listening Session - Strengthening Equitable Access to Advanced Primary Care - April 26, 2022: Slides (PDF) | Transcript (PDF)
- Roundtable on Safety Net Provider Participation in CMS Innovation Center Models - March 16, 2022: Slides (PDF) | Transcript (PDF)
- Listening Session - Incorporating Beneficiary Perspectives into Model Testing, Implementation, and Evaluation - February 9, 2022: Slides (PDF) | Transcript (PDF)
- Roundtable on CMS Innovation Center Health Equity Strategy - December 8, 2021: Slides (PDF) | Transcript (PDF (PDF))
- Listening Session - First CMS Innovation Center Strategy Listening Session - November 18, 2021: Slides (PDF) | Transcript (PDF)
- Webinar - Driving Healthcare Transformation: A Strategy for the CMS Innovation Center's Second Decade - October 20, 2021: Slides (PDF) | Recording (MP4) | Transcript (PDF)
Listed are publications for which CMMI leadership and/or staff were contributing authors:
- Innovation At The Centers For Medicare And Medicaid Services: A Vision For The Next 10 Years - Health Affairs (August 12, 2021)
- Authors: Chiquita Brooks-LaSure, Elizabeth Fowler, Meena Seshamani, Daniel Tsai
- Building On The CMS Strategic Vision: Working Together For A Stronger Medicare - Health Affairs (January 11, 2022)
- Authors: Meena Seshamani, Elizabeth Fowler, Chiquita Brooks-LaSure
- CMS Innovation Center Launches New Initiative To Advance Health Equity - Health Affairs (March 3, 2022)
- Author: Dora Lynn Hughes
- Pathways for Specialty Care Coordination and Integration in Population-based Models - CMS Blog (June 17, 2022)
- Author: Purva Rawal et al
- CMS Innovation Center Tackles Implicit Bias - Health Affairs (July 5, 2022)
- Authors: Dora Lynn Hughes et al
- Addressing Challenges in Primary Care: Lessons to Guide Innovation - JAMA Health Forum (August 19, 2022)
- Author: Purva Rawal et al
- The CMS Innovation Center’s Strategy to Support Person-centered, Value-based Specialty Care - CMS Blog (November 7, 2022)
- Authors: Elizabeth Fowler, Purva Rawal et al
- A Report in Response to the Executive Order on Lowering Prescription Drug Costs for Americans (February 2023)
- One-Year Anniversary of Executive Order on Lowering Prescription Drug Costs for Americans - CMS Blog (October 11, 2023)
- Advancing Health Equity Through The CMS Innovation Center: First Year Progress And What’s To Come - Health Affairs (May 11, 2023)
- Author: Dora Lynn Hughes
- The CMS Innovation Center’s Strategy to Support High-Quality Primary Care - CMS Blog (June 9, 2023)
- Purva Rawal, Jacob Quinton, Dora Hughes, Elizabeth Fowler
- Building On CMS's Accountable Care Vision To Improve Care For Medicare Beneficiaries - Health Affairs (July 31, 2023)
- Authors: Elizabeth Fowler, Douglas Jacobs, Purva Rawal, Meena Seshamani
- Episode-Based Payment Request for Information (RFI) - Federal Register
- CMS White Paper on CMS Innovation Center’s Strategy: Driving Health System Transformation - A Strategy for the CMS Innovation Center’s Second Decade (PDF)
- An Update on the Implementation of the CMS Innovation Center's Strategy and Specialty Care Approach (PDF)
- Frequently Asked Questions on the CMS Innovation Center Strategy: PDF (PDF) | HTML