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CMS Listening Session on Health Care Delivery

[The following post was written by Erica Brode, ITUP intern]

Yesterday, I attended the CMS “Listening Session” on Health Care Delivery System Reform at the Westin St. Francis in San Francisco. The session featured CMS Administrator, Dr. Donald Berwick; Acting Director of the Center for Medicare and Medicaid Innovation (CMMI), Dr. Richard Gilfillan; and Director of the Federal Coordinated Health Care Office (FCHCO), Melanie Bella.

Dr. Berwick described CMS’s new three-pronged mission:

  • improving individual care,
  • improving population-level health, and
  • reducing costs while enhancing health care quality.

CMS plans to further this mission through the introduction of two new offices, CMMI and the FCHCO.

The CMMI will focus on investing in new innovative healthcare delivery systems and payment reform structures. This Center has teams of people reviewing patient-centered medical homes, coordinated care models, and community population health models.

The FCHCO will focus on reforming the CMS system to provide access to seamlessly coordinated, high quality, innovative healthcare for the 9.2 million people who are dually eligible for Medicare and Medicaid.

The session was then “opened up” for public comment from local physicians, advocates, organizational representatives, consumers and residents. The comments included the need to reimburse chronic care managers and health coaches for care outside the face-to-face physician visit, expanding the scope of practice for nurse practitioners, and increasing incentives for patient-safety, as well as coordination of care.

A transcript of this session will be posted on the CMMI website in a couple weeks. Please also look for the CMS guidelines on Accountable Care Organizations (ACOs) to be release at the end of January.