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+ Model Name,Stage,Number of Participants,Category,Authority,Description,Number of Beneficiaries Impacted,Number of Physicians Impacted,Date Began,Date Ended,States,Keywords,URL,Display Model Summary,Unique ID
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+ Accountable Health Communities Model,Not Active,28,State & Community-Based Models,Section 1115A of the Social Security Act,The Accountable Health Communities Model tested whether addressing unmet health-related social needs could reduce health care costs and utilization among community Medicare and Medicaid beneficiaries.,,,,,"AZ,CO,CT,GA,IL,IN,KY,MD,MI,MN,NJ,NM,NY,OH,OK,OR,PA,TN,TX,VA,WV","State & Community-Based Models, Accountable Health Communities Model, AHC Model, Medicare, Medicaid, community services, social needs, health related social needs, bridge organizations, clinical-community collaboration, community services",/initiatives/ahcm/,TRUE,1
3
+ ACO Investment Model,Not Active,45,Accountable Care Models,Section 1115A of the Social Security Act,The ACO Investment Model tested new pre-payment approaches meant to support Medicare Shared Savings Program ACOs.,,,,,"CA,OK,MN,KS,MS,WV,TX,KY,ME,NC,FL,IA,WI,IL,MO,MI,NH,VT,OH,PA,WA,AL,SC,GA,SD,OR,MT,ID,WY,TN,SD,NE,NM,CO","Accountable Care Models, ACO Investment Model, Accountable Care Organization, Medicare Shared Savings Program, Advance Payment ACO Model, Pioneer ACO Model, rural areas",/initiatives/ACO-Investment-Model/,TRUE,2
4
+ ACO REACH,Active,103,Accountable Care Models,Section 1115A of the Social Security Act,"The redesigned Model reflects the Biden-Harris Administration priorities and responds to stakeholder and participant feedback. With ACO REACH, CMS will test a model that can inform the Medicare Shared Savings Program and future models by making important changes to the GPDC Model.",,,,,,"Accountable Care Models, ACO Investment Model, Accountable Care Organization, Medicare Shared Savings Program, Advance Payment ACO Model, Pioneer ACO Model, rural areas, ACO Reach Model, primary care",/innovation-models/aco-reach,TRUE,3
5
+ Advance Payment ACO Model,Not Active,35,Accountable Care Models,Section 1115A of the Social Security Act,The Advance Payment ACO Model provided upfront and monthly payments to 35 ACOs participating in the Medicare Shared Savings Program.,,,,,"NC,KY,NH,FL,TX,RI,TN,CA,MA,MD,MS,CT,IN,AR,MO,OH,NE","Accountable Care Models, Accountable Care, ACOs, Advance Payment ACO Model, Accountable Care Organizations (ACOs), rural, Medicare, Shared Savings Program, prospective payment",/initiatives/Advance-Payment-ACO-Model/,TRUE,4
6
+ Artificial Intelligence (AI) Health Outcomes Challenge,Not Active,7,Statutory Demonstrations and Other Projects,America COMPETES Reauthorization Act,Competition to innovate how artificial intelligence (AI) can be implemented in current and new health care payment and service delivery models.,,,,,,"Artificial Intelligence (AI) Health Outcomes Challenge, Statutory Models, technology, competition, Medicare, Medicaid, big data",/initiatives/artificial-intelligence-health-outcomes-challenge/,TRUE,5
7
+ BPCI Advanced,Active,"170 Participants, 208 Episode Initiators",Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,BPCI Advanced is a voluntary episode payment model that will qualify as an Advanced Alternative Payment Model (APM) under the Quality Payment Program to test a new iteration of bundled payments.,,,,,"AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,IA,IL,KS,KY,LA,ME,MD,MI,MN,MO,MS,MT,NC,ND,NE,NJ,NM,NV,NY,OK,OR,PA,PR,SC,SD,TN,TX,UT,VA,WA,WI,WV","Disease-Specific & Episode-Based Models, BPCI Advanced, Bundled Payments for Care Improvement Advanced, Advanced Alternative Payment Model (APM), episode of care, Medicare",/initiatives/bpci-advanced/,TRUE,6
8
+ Bundled Payments for Care Improvement (BPCI) Initiative: General Information,Not Active,,Disease-Specific & Episode-Based Models,,The Bundled Payments for Care Improvement intitiative evaluated 4 different models of bundled payments for a defined episode of care to incentivize care redesign.,,,,,,"Disease-Specific & Episode-Based Models, Bundled Payments for Care Improvement (BPCI) Initiative: General Information, BPCI, Medicare, prospective payment, BPCI Model 1: Retrospective Acute Care Hospital Stay Only, BPCI Model 2: Retrospective Acute & Post Acute Care Episode, BPCI Model 3: Retrospective Post Acute Care, BPCI Model 4: Prospective Acute Care Hospital Stay Only",/initiatives/Bundled-Payments/,TRUE,7
9
+ CHART Model,Withdrawn,4,State & Community-Based Models,Section 1115A of the Social Security Act,"This model aims to empower rural communities to develop a high quality care delivery system through new seed funding, payment structures, operational and regulatory flexibilities and technical and learning support.",,,,,,"Community Health Access and Rural Transformation (CHART) Model, rural health, Disease-Specific & Episode-Based Models, Medicare, hospitals, Critical Access Hospitals (CAHs), CHART Model",/initiatives/chart-model,TRUE,8
10
+ Community-based Care Transitions Program,Not Active,18,"Statutory Demonstrations and Other Projects, State & Community-Based Models",Section 3026 of the Affordable Care Act,The Community-Based Care Transition Program supported community-based organizations to reduce readmissions by improving transitions of high-risk Medicare beneficiaries from the inpatient hospital setting to home or other care settings.,,,,,"CA,IL,NY,AZ,PA,MA,MI,OH,NC,AL,IN,KY","Statutory Models, Partnership for Patients, Nationwide, Hospital-Acquired Conditions, Readmissions, CCTP, Community-Based Care Transitions Program, Medicare, Hospital Engagement Networks",/initiatives/CCTP/,TRUE,9
11
+ Comprehensive Care for Joint Replacement Model,Active,Approximately 324 hospitals in 34 MSAs,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,This model aims to improve care and reduce costs for hip and knee replacements through episode-based payments.,,,,,"AL,AR CA,CT,FL,IN,KY,MS,NC,NY,NJ,OH,PA,TX,UT","Comprehensive Care for Joint Replacement Model, Disease-Specific & Episode-Based Models, lower extremity joint replacement, hip replacement, knee replacement, surgeries, CJR Model",/initiatives/cjr/,TRUE,10
12
+ Comprehensive ESRD Care Model,Not Active,33,"Accountable Care Models, Disease-Specific & Episode-Based Models",Section 1115A of the Social Security Act,The Comprehensive ESRD Care Model was designed to improve care for beneficiaries with ESRD while lowering Medicare costs.,,,,,"AL,AZ,CA,DE,FL,GA,IL,IN,LA,MA,MD,MI,MN,MO,NC,NJ,NY,NV,OH,OR,PA,SC,TN,TX,WA","Disease-Specific & Episode-Based Models, comprehensive esrd care model, esrd, end-stage renal disease, dialysis, Medicare, CEC Model",/initiatives/comprehensive-ESRD-care/,TRUE,11
13
+ Comprehensive Primary Care Initiative,Not Active,442,Accountable Care Models,Section 1115A of the Social Security Act,The CPC Initiative was a multi-payer initiative that provided financial support to primary care practices in 7 markets.,,,,,"NY,NJ,CO,OK,AR,OH,OR,KY","Accountable Care Models, Comprehensive Primary Care Initiative, Medicare, managed care, multi-payer, CPCI",/initiatives/Comprehensive-Primary-Care-Initiative/,TRUE,12
14
+ Comprehensive Primary Care Plus,Not Active,2610,Accountable Care Models,Section 1115A of the Social Security Act,A national advanced primary care medical home model that aimed to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation.,,,,,"AR,CO,HI,KS,KY,MO,MI,MT,NJ,NY,OH,OK,OR,PA,RI,TN","Accountable Care Models, Comprehensive Primary Care Plus, CPC+, CPC+ Model, primary care, medical home",/initiatives/comprehensive-primary-care-plus/,TRUE,13
15
+ "Emergency Triage, Treat, and Transport (ET3) Model",Not Active,152,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,Voluntary payment model that provided greater ambulance care team flexibility to address Medicare beneficiary emergency care needs following a 911 call.,,,,,"AL,AZ,CA,CO,CT,FL,GA,HI,IL,KS,KY,LA,MA,MD,ME,MI,MO,MO,NC,NH,NJ,NM,NV,NY,OH,OK,OR,PA,SC,SD,TN,TX,VA,WV,WI","Disease-Specific & Episode-Based Models, Emergency Triage, Treat, and Transport (ET3) Model, ET3, ambulance, 911, Medicare, emergency, triage, care in place, ET3 Model",/initiatives/et3/,TRUE,14
16
+ Enhancing Oncology Model,Active,"31 practices, 2 payers","Disease-Specific & Episode-Based Models, Accountable Care Models",Section 1115A of the Social Security Act,This model aims to drive transformation and improve oncology care coordination by preserving and enhancing the quality of care furnished to beneficiaries undergoing treatment for cancer while reducing program spending under Medicare fee-for-service.,,,,,"AL,AR,AZ,CA,CO,CT,DC,FL,GA,ID,IL,IN,KY,LA,MD,MI,MN,MO,MS,MT,NC,NJ,NM,NV,OH,OK,OR,PA,SC,TN,TX,VA,WA,WV ","Enhancing Oncology Model (EOM), Disease-Specific & Episode-Based Models, oncology, cancer",https://innovation.cms.gov/innovation-models/enhancing-oncology-model,TRUE,15
17
+ ESRD Treatment Choices (ETC) Model,Active,,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,"Encourages greater use of home dialysis and kidney transplants for Medicare beneficiaries with ESRD, while reducing Medicare expenditures and preserving or enhancing the quality of care furnished to beneficiaries with ESRD.",,,,,,"Disease-Specific & Episode-Based Models, ESRD Treatment Choices (ETC) Model, end-stage renal disease, kidney, Advancing American Kidney Health Executive Order, ETC Model, dialysis, kidney transplants",/initiatives/esrd-treatment-choices-model/,TRUE,16
18
+ Expanded Home Health Value-Based Purchasing Model,Active,,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,"Building upon experience from the original Home Health Value-Based Purchasing Model (HHVBP Model), this model expands presence to all fifty states, District of Columbia, and the U.S. territories.",,,,,,"Expanded Home Health Value-Based Purchasing Model, Expanded HHVBP Model, HHVBP, Disease-Specific & Episode-Based Models, Medicare, home health",/innovation-models/expanded-home-health-value-based-purchasing-model,TRUE,17
19
+ Financial Alignment Initiative for Medicare-Medicaid Enrollees,Active,13,"State & Community-Based Models, Health Plan Models",Section 1115A of the Social Security Act,Enables states to integrate care and payment systems for Medicare-Medicaid enrollees and better coordinate their care.,,,,,"MA,WA,OH,IL,CA,VA,NY,SC,RI,MN,CO,MI,TX","State & Community-Based Models, Financial Alignment Initiative, dual eligibles, Medicare, Medicaid, Medicare-Medicaid enrollees, Financial Alignment Initiative for Medicare-Medicaid Enrollees, FAI",/initiatives/Financial-Alignment/,TRUE,18
20
+ FQHC Advanced Primary Care Practice Demonstration,Not Active,434,"Statutory Demonstrations and Other Projects, Accountable Care Models",Section 1115A of the Social Security Act,The Federally Qualified Health Center (FQHC) Advanced Primary Care Practice Demonstration tested the efficiency of patient-centered medical homes among FQHCs.,,,,,"WA,WI,CA,GA,LA,IL,WV,KY,ID,NH,AK,NC,AR,MI,HI,MD,TX,SC,IA,MI,NM,MO,PA,MS,OH,NJ,NY,IN,MS,TN,SD,OR,VA,CO,NE,MT,FL,MA,CT,WY,MN,KY,RI,ND,ID,ME,AL,KS,OK,AL,OR","Statutory Models, Federally Qualified Health Center (FQHC), medical home, Medicare, managed care, Medicaid, dual eligibles, Medicare, FQHC Advanced Primary Care Practice Demonstration",/initiatives/FQHCs/,TRUE,19
21
+ Frontier Community Health Integration Project Demonstration,Active,5,Statutory Demonstrations and Other Projects,Section 3126 of the Affordable Care Act,"This demonstration aimed to develop and test new models of integrated, coordinated health care in the most sparsely populated rural counties.",,,,,"MT,NV,ND","Statutory Models, Frontier Community Health Integration Project Demonstration, Medicare, critical access hospitals (CAHs), rural, telemedicine, home health, home-based care, ambulance, remote geographic areas",/initiatives/Frontier-Community-Health-Integration-Project-Demonstration/,TRUE,20
22
+ Frontier Extended Stay Clinic Demonstration,Not Active,5,Statutory Demonstrations and Other Projects,"Section 434 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003","The Frontier Extended Stay Clinic Demonstration allowed remote clinics to treat patients for more extended periods, including overnight stays, that are entailed in routine physician visits.",,,,,"AK,WA","Statutory Models, Frontier Extended Stay Clinic Demonstration, acute care, remote geographic areas",/initiatives/Frontier-Extended-Stay-Clinic/,TRUE,21
23
+ Geographic Direct Contracting Model,Not Active,,Accountable Care Models,Section 1115A of the Social Security Act,A payment and care delivery model that proposed testing whether a geographic-based approach to care delivery and value-based care could improve health and reduce costs for Medicare beneficiaries across an entire geographic region.,,,,,,"Accountable Care Models, Geographic Direct Contracting Model, Direct Contracting Model Options, DC, primary care, voluntary, value, quality, flexibility",/innovation-models/geographic-direct-contracting-model,TRUE,22
24
+ Global and Professional Direct Contracting (GPDC) Model,Not Active,99,Accountable Care Models,Section 1115A of the Social Security Act,Voluntary payment model options that innovated Medicare fee-for-service approaches to produce value and high-quality care outcomes.,,,,,,"Accountable Care Models, Global and Professional Direct Contracting (GPDC) Model, GPDC Model, Direct Contracting Model Options, DC, primary care, voluntary, value, quality, flexibility",/innovation-models/gpdc-model,TRUE,23
25
+ Graduate Nurse Education Demonstration,Not Active,5,Statutory Demonstrations and Other Projects,Section 5509 of the Affordable Care Act,The Graduate Nurse Education Demonstration supported hospitals for the reasonable cost of providing clinical training to advanced practice registered nursing (APRN) training.,,,,,"PA,NC,AZ,IL,TX","Statutory Models, Graduate Nurse Education Demonstration, GNE, Advanced Practice Registered Nurses (APRNs), Medicare",/initiatives/GNE/,TRUE,24
26
+ Health Care Innovation Awards,Not Active,107,Statutory Demonstrations and Other Projects,Section 1115A of the Social Security Act,"The Health Care Innovation Awards funded competitive grants to compelling new ideas that deliver health care at lower costs to people enrolled in Medicare, Medicaid, and CHIP.",,,,,"MA,TX,NJ,MN,SD,NC,GA,PA,OR,MD,VA,DC,RI,CT,VT,NM,WA,CA,NH,NE,IL,NY,OH,CO,TN,MI,WI,DE,AR,MO,SC,FL,HI,MT,WY,UT,ID,ME,IA,OK,AZ,IN,ND,AK,NV,ND,AL,PR,OR,KS,KY,MS,WV,ID,LA","Health Care Innovation Awards, Statutory Models, Medicare, Medicaid, Children's Health Insurance Program (CHIP), CHIP, grants, HCIA, Challenge, managed care, community health, rural",/initiatives/Health-Care-Innovation-Awards/,TRUE,25
27
+ Health Care Innovation Awards Round Two,Not Active,39,Statutory Demonstrations and Other Projects,Section 1115A of the Social Security Act,"The Health Care Innovation Awards Round Two were funding competitive grants to compelling new ideas that delivered health care at lower costs to people enrolled in Medicare, Medicaid, and CHIP.",,,,,"AZ,CA,CO,CT,DC,FL,GA,IA,IL,KS,MA,MD,MI,MN,MO,NE,NC,NH,NM,NY,OH,PA,SD,TX,WA,WI,VA","Statutory Models, Health Care Innovation Awards Round Two, HCIA Round Two, grants",/initiatives/Health-Care-Innovation-Awards/Round-2.html,TRUE,26
28
+ Home Health Value-Based Purchasing Model,Authorized for Expansion,,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,This model was designed to support greater quality and efficiency among Medicare-certified home health agencies by shifting away from payments based on volume towards payments based on quality.,,,,,"AZ,FL,IA,MA,MD,NE,NC,TN,WA","Disease-Specific & Episode-Based Models, Home Health Value-Based Purchasing Model, Medicare, value based, HHVBP Model, HHVBP",/initiatives/home-health-value-based-purchasing-model,TRUE,27
29
+ Independence at Home Demonstration,Not Active,1 Participating Site,Statutory Demonstrations and Other Projects,Section 3024 of the Affordable Care Act as amended by the Bipartisan Budget Act of 2018,The Independence at Home Demonstration supported home-based primary care for Medicare beneficiaries with multiple chronic conditions.,,,,,"MA,DE,OH,NY,NC,OR,PA,TX,FL,MI,VA,WI","Statutory Models, Independence at Home Demonstration, Medicare, home-based care, chronic conditions",/initiatives/Independence-at-Home/,TRUE,28
30
+ Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents,Not Active,7,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,Offered enhanced clinical services to beneficiaries in extended-care nursing facilities.,,,,,"AL,IN,MO,NE,NV,NY,PA","Disease-Specific & Episode-Based Models, Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents, Partnership for Patients, Medicare-Medicaid enrollees, dual eligibles, Medicaid, Medicare",/initiatives/rahnfr/,TRUE,29
31
+ Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents: Phase Two,Not Active,247,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,Phase Two of the Initiative offering enhanced clinical services to beneficiaries in long-term care facilities.,,,,,"AL,CO,IN,MO,NV,NY,PA","Disease-Specific & Episode-Based Models, Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents: Phase Two, Initiatives Focused on the Medicare-Medicaid Enrollees, dual eligible, Medicare, Medicaid, long-term care (LTC)",/initiatives/rahnfr-phase-two/,TRUE,30
32
+ Integrated Care for Kids (InCK) Model,Active,7,State & Community-Based Models,Section 1115A of the Social Security Act,"This model aims to reduce expenditures and improve the quality of care for children covered by Medicaid and the Children's Health Insurance Program (CHIP) through prevention, early identification, and treatment of behavioral and physical health needs, including substance use.",,,,,"CT,IL,NC,NJ,NY,OH","State & Community-Based Models, Integrated Care for Kids (InCK) Model, InCK Model, Medicaid, Childrens Health Insurance Program (CHIP), substance use, pediatrics",/initiatives/integrated-care-for-kids-model/,TRUE,31
33
+ International Pricing Index (IPI) Model,Withdrawn,,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,This proposed model would aim to preserve or enhance quality of care for beneficiaries while reducing Medicare Part B drug expenditures.,,,,,,"International Pricing Index (IPI) Model, IPI Model, Prescription Drug Models, Medicare, Part B, Competitive Acquisition Program (CAP)",/initiatives/ipi-model/,TRUE,32
34
+ Kidney Care Choices (KCC) Model,Active,"93: 78 CKCC Participants, 15 KCF Participants ","Accountable Care Models, Disease-Specific & Episode-Based Models",Section 1115A of the Social Security Act,"This model incentivizes kidney disease prevention, encourage kidney transplantation and offer distinct payment options to further these goals.",,,,,"AL,CA,GA,FL,IL,IN,KS,KY,MI,MN,MO,NC,NJ,NY,OH,OR,PA,SC,TN,TX,WA,WI,WV","Accountable Care Models, Kidney Care Choices (KCC) Model, Kidney Care First (KCF) Option, Comprehensive Kidney Care Contracting (CKCC) Option, Advancing American Kidney Health Executive Order, kidney, kidney transplants, dialysis, KCC Model",/initiatives/kidney-care-choices-kcc-model/,TRUE,33
35
+ Maryland All-Payer Model,Not Active,1,"State & Community-Based Models, Accountable Care Models",Section 1115A of the Social Security Act,This Model was a partnership between CMS and the state of Maryland to modernize Maryland's unique all-payer rate-setting system for hospital services.,,,,,MD,"State & Community-Based Models, Maryland All-Payer Model, Medicare, Medicaid, Children's Health Insurance Program (CHIP), states",/initiatives/Maryland-All-Payer-Model/,TRUE,34
36
+ Maryland Total Cost of Care Model,Active,550,"State & Community-Based Models, Accountable Care Models",Section 1115A of the Social Security Act,This model is the first CMS Innovation Center model to hold a state fully at risk for the total cost of care for Medicare beneficiaries.,,,,,MD,"State & Community-Based Models, Maryland Total Cost of Care Model, TCOC, Maryland, Medicare, Outcomes-Based Credits, Substance-Use Disorder (SUD), Diabetes, Hypertension, Obesity, Smoking, Asthma, MD TCOC Model",https://innovation.cms.gov/initiatives/md-tccm/,TRUE,35
37
+ Maternal Opioid Misuse (MOM) Model,Active,7,"State & Community-Based Models, Disease-Specific & Episode-Based Models",Section 1115A of the Social Security Act,This model addresses the need to better align and coordinate care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD) through state-driven transformation of the delivery system.,,,,,"CO,IN,ME,NH,TN,TX,WV","Maternal Opioid Misuse (MOM) Model, State & Community-Based Models, opioid, opioid use disorder (oud), Medicaid, pregnant, prenatal, peripartum, postpartum, Childrens Health Insurance Program (CHIP), pediatrics, MOM Model",https://innovation.cms.gov/initiatives/maternal-opioid-misuse-model/,TRUE,36
38
+ Medicaid Emergency Psychiatric Demonstration,Not Active,12,"Statutory Demonstrations and Other Projects, Health Plan Models",Section 2707 of the Affordable Care Act,The Medicaid Emergency Psychiatric Demonstration supported treatment for psychiatric emergencies at private psychiatric hospitals in 11 states and the District of Columbia.,,,,,"AL,CA,CT,DC,IL,ME,MD,MO,NC,RI,WA,WV","Statutory Models, Medicaid Emergency Psychiatric Demonstration, Medicaid, Children's Health Insurance Program (CHIP)",/initiatives/Medicaid-Emergency-Psychiatric-Demo/,TRUE,37
39
+ Medicaid Incentives for the Prevention of Chronic Diseases Model,Not Active,10,Statutory Demonstrations and Other Projects,Section 4108 of the Affordable Care Act,The Medicaid Incentives for the Prevention of Chronic Diseases Model supported 10 states providing incentives for Medicaid beneficiaries to participate in prevention programs and demonstrate changes in health risks and outcomes.,,,,,"WI,MN,NY,NV,NH,MT,HI,TX,CA,CT","Statutory Models, Medicaid Incentives for the Prevention of Chronic Diseases Model, grants, managed care",/initiatives/MIPCD/,TRUE,38
40
+ Medicaid Innovation Accelerator Program,Not Active,,Statutory Demonstrations and Other Projects,Section 1115A of the Social Security Act,"This program aimed to support state efforts to accelerate innovations to improve health and care, while decreasing costs in the Medicaid and CHIP programs.",,,,,"AK,AL,AR,AZ,CA,CT,CO,DC,DE,FL,GA,GU,IA,IL,KS,KY,LA,MD,ME,MI,MN,MO,MP,MS,MT,NC,NH,ND,NE,NJ,NM,NV,NY,OK,OR,PA,PR,SC,SD,TN,TX,UT,VA,VT,WA,WI,WV,WY","Statutory Models, Medicaid, CHIP, Medicaid Innovation Accelerator Program, IAP, technical assistance, CMCS",/initiatives/MIAP/,TRUE,39
41
+ Medicare Acute Care Episode (ACE) Demonstration,Not Active,5,"Statutory Demonstrations and Other Projects, Disease-Specific & Episode-Based Models","Section 646 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003",The Acute Care Episode (ACE) Demonstration tested the effect of bundling Part A and B payments for episodes of acute care.,,,,,,"Disease-Specific & Episode-Based Models, Bundled Payments for Care Improvement (BPCI), Medicare Acute Care Episode (ACE) Demonstration, Medicare, Value-Based Care Centers",/initiatives/ACE/,TRUE,40
42
+ Medicare Advantage Value-Based Insurance Design Model,Active,62 for CY 2025,"Health Plan Models, Disease-Specific & Episode-Based Models",Section 1115A of the Social Security Act,This model is testing the value of extra benefits or reductions in cost sharing for Medicare Advantage enrollees with chronic health conditions.,,,,,"CT,FL,IN,MA,MI,MN,NY,OR,PA,RI,VA","Health Plan Models, Medicare Advantage Value-Based Insurance Design Model, Health Plan Innovation Initiatives, Medicare Advantage, value-based insurance design, HPI, Medicare, vbid, VBID, MA-VBID, chronic conditions, hospice",/initiatives/vbid/,TRUE,41
43
+ Medicare Care Choices Model,Not Active,82,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,The Medicare Care Choices Model aimed to develop innovative payment systems to improve care options for hospice eligible beneficiaries by allowing greater beneficiary access to comfort and rehabilitative care in Medicare and Medicaid.,,,,,"CA,CO,DE,FL,GA,HI,IA,ID,IL,IN,KS,KY,OH,OK,MA,MD,MI,MN,MO,MT,NC,NJ,NV,NY,PA,SC,SD,TN,TX,UT,VA,VT,WA,WI","Health Plan Models, Medicare Care Choices Model, hospice, Medicare, Medicaid, curative treatment, dual eligible individuals, Medicare hospice benefit, Medicaid hospice benefit, shared decision making, care coordination, MCCM",/initiatives/Medicare-Care-Choices/,TRUE,42
44
+ Medicare Coordinated Care Demonstration,Not Active,15,Statutory Demonstrations and Other Projects,Section 4106 of the Balanced Budget Act of 1997,The Medicare Coordinated Care Demonstration tested whether providing coordinated care services to Medicare beneficiaries with complex chronic conditions could yield patient outcomes without increasing program costs.,,,,,,"Statutory Models, Medicare Coordinated Care Demonstration, Medicare",/initiatives/Medicare-Coordinated-Care/,TRUE,43
45
+ Medicare Diabetes Prevention Program (MDPP) Expanded Model,Active,911,"Disease-Specific & Episode-Based Models, Health Plan Models",Section 1115A of the Social Security Act,This program is a structured lifestyle intervention to prevent onset of diabetes in pre-diabetic individuals.,,,,,"AR,AZ,CA,CO,DE,FL,GA,IA,ID,IL,IN,KS,KY,MA,MD,ME,MI,MN,MT,NC,NH,ND,NY,OH,OK,OR,PA,SC,TN,TX,UT,WA,WI,WV","Disease-Specific & Episode-Based Models, Medicare Diabetes Prevention Program (MDPP) Expanded Model, Medicare, diabetes, MDPP",/initiatives/medicare-diabetes-prevention-program/,TRUE,44
46
+ Medicare Health Care Quality Demonstration,Not Active,4,Accountable Care Models,"Section 646 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003",The Medicare Health Care Quality Demonstration tested major changes to improve quality of care while increasing efficiency across an entire health care system.,,,,,,"Accountable Care Models, Accountable Care, Medicare Health Care Quality Demonstration, Medicare",/initiatives/Medicare-Health-Care-Quality/,TRUE,45
47
+ Medicare Hospital Gainsharing Demonstration,Not Active,2,Statutory Demonstrations and Other Projects,Deficit Reduction Act of 2005 and Section 3027 of the Affordable Care Act,This demonstration tested arrangements between hospitals and physicians designed to govern the utilization of inpatient hospital resources and physician work and improve operational hospital performance with the sharing of remuneration.,,,,,,"Statutory Models, Medicare Hospital Gainsharing Demonstration, rural, Medicare",/initiatives/Medicare-Hospital-Gainsharing/,TRUE,46
48
+ Medicare Imaging Demonstration,Not Active,5,Statutory Demonstrations and Other Projects,Section 135(b) of the Medicare Improvements for Patients and Providers Act of 2008,Collected data regarding physician use of advanced diagnostic imaging services to determine the appropriateness of services in relation to medical specialty guidelines.,,,,,,"Statutory Models, Medicare Imaging Demonstration, MRI, computed tomography, CT scan, nuclear medicine",/initiatives/Medicare-Imaging/,TRUE,47
49
+ Medicare Intravenous Immune Globulin (IVIG) Demonstration,Not Active,,Statutory Demonstrations and Other Projects,Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012,This Demonstration is being implemented to evaluate the benefits of providing payment and items for services needed for in-home administration of intravenous immune globulin for the treatment of primary immune deficiency disease (PIDD).,,,,,,"Statutory Models, Medicare Intravenous Immune Globulin (IVIG) Demonstration, IVIG, primary immune deficiency disease (PIDD), home health",/initiatives/IVIG/,TRUE,48
50
+ Million Hearts,Not Active,,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,Million Hearts is a national initiative to prevent 1 million heart attacks and strokes over five years.,,,,,,"Disease-Specific & Episode-Based Models, Million Hearts, heart attacks, strokes, cardiovascular disease",/initiatives/Million-Hearts/,TRUE,49
51
+ Million Hearts: Cardiovascular Disease Risk Reduction Model,Not Active,319,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,This model provided opportunity for the design of sustainable care approaches to decrease cardiovascular disease risk for Medicare beneficiaries.,,,,,"AZ,AK,CA,CO,DC,WA,OR,ID,MT,UT,WY,NM,TX,OK,KS,ND,NE,MN,IA,MO,AR,LA,MS,TN,IL,WI,MI,IN,OH,AL,GA,FL,SC,NC,VA,PA,OH,NY,NJ,CT,RI,NH,ME,DE,HI,PR","Million Hearts: Cardiovascular Disease Risk Reduction Model, Million Hearts, CVD, Disease-Specific & Episode-Based Models, Medicare, heart attacks, stroke, predictive modelling, population-level risk management",/initiatives/Million-Hearts-CVDRRM/,TRUE,50
52
+ Most Favored Nation Model,Withdrawn,,State & Community-Based Models,Section 1115A of the Social Security Act,"Mandatory, nationwide model that tested whether more closely aligning Medicare Part B drugs payments with international prices and removing incentives to use higher-cost drugs could control unsustainable Medicare Part B spending without adversely affecting quality of care for beneficiaries.",,,,,,"State & Community-Based Models, Most Favored Nation Model, MFN Model, prescription drugs, Medicare Part B, Organisation for Economic Co-operation and Development (OCED), Medicare",/innovation-models/most-favored-nation-model,TRUE,51
53
+ Multi-Payer Advanced Primary Care Practice,Not Active,5,"Statutory Demonstrations and Other Projects, Accountable Care Models",Section 402 of the Social Security Amendments of 1967 as amended,"In the Multi-Payer Advanced Primary Care Practice Demonstration, CMS joined in multi-payer primary care initiatives that were being conducted within states.",,,,,"ME,VT,RI,NY,MI","Statutory Models, Multi-payer Advanced Primary Care Practice Demonstration, medical home, APC, Medicaid, Medicare",/initiatives/Multi-Payer-Advanced-Primary-Care-Practice/,TRUE,52
54
+ Next Generation ACO Model,Not Active,35,Accountable Care Models,Section 1115A of the Social Security Act,This model allowed provider groups to assume higher levels of financial risk and reward than were available under the Pioneer ACO Model and Shared Savings Program through incentives and support tools.,,,,,"AZ,CA,DE,FL,IA,ID,IN,LA,MA,MI,MN,NC,NH,NY,RI,TX,UT,VA,VT,WA,WI","Accountable Care Models, Next Generation ACO Model, Accountable Care, Medicare, quality improvement, incentives, care coordination, alternative payment models, NGACO, Next Gen ACO Model",/initiatives/Next-Generation-ACO-Model/,TRUE,53
55
+ Nursing Home Value-Based Purchasing Demonstration,Not Active,182,Accountable Care Models,Section 402 of the Social Security Amendments of 1967 as amended,Nursing Home Value-Based Purchasing Demonstration provided incentive payment awards to participating nursing homes that performed the best or improve the most in terms of quality.,,,,,"AZ,NY,WI","Accountable Care Models, Accountable Care, Nursing Home Value-Based Purchasing Demonstration, Medicare, Medicaid",/initiatives/Nursing-Home-Value-Based-Purchasing/,TRUE,54
56
+ Oncology Care Model,Not Active,"122 practices, 5 payers",Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,"This was an innovative payment model for physician practices administering chemotherapy that aimed to provide higher quality, more coordinated oncology care at lower cost to Medicare.",,,,,"AL,AR,AZ,CA,CT,FL,GA,IL,IN,KY,MA,ME,MI,MN,MS,NE,NJ,NM,NY,OH,OK,OR,PA,SC,TN,TX,UT,VA,WA,WI,WV","Disease-Specific & Episode-Based Models, Cancer, Oncology Care Model, OCM, chemotherapy, care coordination, shared decision making, Medicare, Medicare Advantage, Medicaid",/initiatives/Oncology-Care/,TRUE,55
57
+ Part D Enhanced Medication Therapy Management Model,Not Active,6,"Health Plan Models, Prescription Drug Models",Section 1115A of the Social Security Act,"This model tested changes to the Part D program to achieve better alignment of PDP sponsor and government financial interests, while also creating incentives for robust investment and innovation in MTM programs, lower health costs, and higher quality care.",,,,,"AZ,FL,IA,LA,MN,MT,NE,ND,SD,VA,WY","Prescription Drug Models, Part D Enhanced Medication Therapy Management Model, Health Plan Innovation Initiatives, Medicare, Part D, MTM, Part D Enhanced MTM Model, PDP, HPI, drug coverage",/initiatives/enhancedmtm/,TRUE,56
58
+ Part D Payment Modernization Model,Not Active,2,Prescription Drug Models,Section 1115A of the Social Security Act,This voluntary model aimed to test better alignment of prescription drug plan design improvements and incentives to improve quality and lower costs.,,,,,,"Prescription Drug Models, Part D Payment Modernization Model, prescription drugs, Part D",/initiatives/part-d-payment-modernization-model/,TRUE,57
59
+ Part D Senior Savings Model,Not Active,116,"Prescription Drug Models, Health Plan Models",Section 1115A of the Social Security Act,This voluntary model tests the impact of offering beneficiaries an increased choice of enhanced alternative Part D plan options that offer lower out-of-pocket costs for insulin.,,,,,"AK,AL,AS,AR,AZ,CA,CO,CT,DC,DE,FL,FM,GA,GU,HI,IA,ID,IL,IN,KS,KY,LA,MA,MD,ME,MH,MI,MN,MO,MP,MS,MT,NE,NM,NC,ND,NH,NJ,NV,NY,OH,OK,OR,PA,PR,PW,RI,SC,SD,TN,TX,UM,UT,VA,VI,VT,WA,WI,WV,WY","Prescription Drug Models, Part D Senior Savings Model, Part D, Senior Savings Model, prescription drugs, Medicare, Medicare Advantage (MA), insulin, seniors",/initiatives/part-d-savings-model,TRUE,58
60
+ Partnership for Patients,Not Active,,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,"The Partnership for Patients was a nationwide public-private partnership that offered support to physicians, nurses and other clinicians working in and out of hospitals to reduce hospital-acquired conditions and readmissions.",,,,,,"Disease-Specific & Episode-Based Models, Partnership for Patients, Community-based Care Transitions Program, Hospital Engagement Networks (HENs), Hospital-Acquired Conditions, Care Transitions, Medicare, Readmissions",/initiatives/Partnership-for-Patients/,TRUE,59
61
+ Pennsylvania Rural Health Model,Not Active,18,"State & Community-Based Models, Accountable Care Models",Section 1115A of the Social Security Act,This model aimed to increase access to high-quality care in Pennsylvania rural settings while reducing hospital expenditures across payers.,,,,,PA,"Pennsylvania Rural Health Model, State & Community-Based Models, rural health, PA, Pennsylvania, all-payer, PA Rural Health Model",/initiatives/pa-rural-health-model/,TRUE,60
62
+ Physician Group Practice Transition Demonstration,Not Active,6,Accountable Care Models,Sections 3022 and 3027 of the Affordable Care Act,"A precursor to the Medicare Shared Savings Program, the Physician Group Practice Transition Demonstration rewarded groups for efficient and high quality care.",,,,,,"Accountable Care Models, Accountable Care, Shared Savings Program, Medicare, Medicare Physician Group Practice Transition Demonstration, Physician Group Practice Transition Demonstration",/initiatives/Physician-Group-Practice-Transition/,TRUE,61
63
+ Physician Hospital Collaboration Demonstration,Not Active,12,Accountable Care Models,"Section 646 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003",The Physician Hospital Collaboration Demonstration examined the effects of gainsharing aimed at improving the quality of care being delivered.,,,,,NJ,"Accountable Care Models, Physician Hospital Collaboration Demonstration, Medicare",/initiatives/Physician-Hospital-Collaboration/,TRUE,62
64
+ Pioneer ACO Model,Not Active,9,Accountable Care Models,Section 1115A of the Social Security Act,The Pioneer ACO Model rewarded groups of health care providers experienced in working together to coordinate care.,,,,,"MN,MA,AZ,WI,CA,MI,NY","Accountable Care Models, Accountable Care, ACOs, Pioneer ACO Model, Accountable Care Organizations (ACOs), Shared Savings Program, alligned beneficiaries, quality metrics, coordinated care, quality measures, Medicare",/initiatives/Pioneer-ACO-Model/,TRUE,63
65
+ Primary Care First Model Options,Active,1752,Accountable Care Models,Section 1115A of the Social Security Act,Voluntary payment model options that reward value and quality through innovative payment structures and emphasizing the doctor-patient relationship supporting advanced primary care.,,,,,"AR,CA,CO,DE,FL,HI,KS,KY,LA,MA,ME,MI,MO,MT,ND,NE,NH,NJ,NY,OH,OK,OR,PA,RI,TN,VA","Accountable Care Models, Primary Care First Model Options, PCF, primary care, voluntary, value, quality, flexibility",/innovation-models/primary-care-first-model-options,TRUE,64
66
+ "Private, For-Profit Demo Project for the Program of All-Inclusive Care for the Elderly (PACE)",Not Active,6,"Statutory Demonstrations and Other Projects, State & Community-Based Models",Section 4804 of the Balanced Budget Act of 1997,This demonstration studied the quality and cost of providing PACE program services under the Medicare and Medicaid Programs.,,,,,PA,"Accountable Care Models, Accountable Care, Private For-Profit Demo Project for the Program of All-Inclusive Care for the Elderly (PACE), PACE, Medicare",/initiatives/PACE/,TRUE,65
67
+ Radiation Oncology Model,Announced,,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,This proposed model aims to improve quality of radiotherapy treatments for cancer patients and reduce provider burden through a predictable payment system.,,,,,,"Disease-Specific & Episode-Based Models, Cancer, Radiation Oncology Model, radiotherapy, RO Model, radiation oncology, Advanced Alternative Payment Model, MIPS APM",/initiatives/radiation-oncology-model/,TRUE,66
68
+ Rural Community Hospital Demonstration,Active,20,Statutory Demonstrations and Other Projects,"Sections 410A of the Medicare Modernization Act of 2003 as amended by sections 3123 and 10313 of the Affordable Care Act, section 15003 of the 21st Century Cures Act, and Consolidated Appropriations Act of 2021",The Rural Community Hospital Demonstration is testing the feasibility and advisability of providing reasonable cost reimbursements for small rural hospitals.,,,,,"AK,CO,IA,KS,ME,MS,NE,OK,SD,WY","Statutory Models, Rural Community Hospital Demonstration, Medicare, rural",/initiatives/Rural-Community-Hospital/,TRUE,67
69
+ State Innovation Models Initiative: Model Design Awards Round One,Not Active,16,State & Community-Based Models,Section 1115A of the Social Security Act,Sixteen states received funding to develop state-based models for multi-payer payment and health care delivery system transformation.,,,,,"OH,DE,HI,RI,TX,CA,IA,ID,TN,MD,CT,NH,PA,UT,MI,IL","State Innovation Models Initiative, State Innovation Models Initiative: Model Design Awards, State Innovation Models Initiative: Model Design Awards Round One, State & Community-Based Models, SIM Model Design Awards: Round One",/initiatives/State-Innovations-Model-Design/,TRUE,68
70
+ State Innovation Models Initiative: Model Design Awards Round Two,Not Active,21,State & Community-Based Models,Section 1115A of the Social Security Act,The second round of State Innovation Models Initiative Model Design Awards provided financial and technical support to states for their planning and design efforts.,,,,,"AS,AZ,CA,DC,HI,KY,IL,MD,MT,NV,NH,NJ,NM,MP,OK,PA,PR,UT,VA,WV,WI","State Innovation Models Initiative, State Innovation Models Initiative: Model Design Awards Round Two, State & Community-Based Models, SIM Model Design Awards: Round Two",/initiatives/State-Innovations-Model-Design-Round-Two/,TRUE,69
71
+ State Innovation Models Initiative: Model Pre-Test Awards,Not Active,3,State & Community-Based Models,Section 1115A of the Social Security Act,Three states further developed their state-based models for multi-payer payment reform and health care delivery system transformation.,,,,,"CO,NY,WA","State & Community-Based Models, State Innovation Models Initiative: Model Pre-Testing Awards, State Innovation Models Initiative, SIM Pre-Test Awards",/initiatives/State-Innovations-Model-Pre-Testing/,TRUE,70
72
+ State Innovation Models Initiative: Model Test Awards Round One,Not Active,6,State & Community-Based Models,Section 1115A of the Social Security Act,"Six states implemented, tested, and evaluated a multi-payer health system transformation model that aimed to deliver high quality care and improve health system performance for its residents.",,,,,"AR,ME,MA,MN,OR,VT","State Innovation Models Initiative, State Innovation Models Initiative: Model Test Awards, State & Community-Based Models, SIM Test Awards: Round One",/initiatives/State-Innovations-Model-Testing/,TRUE,71
73
+ State Innovation Models Initiative: Model Test Awards Round Two,Not Active,11,State & Community-Based Models,Section 1115A of the Social Security Act,The second round of State Innovation Models Initiative Model Testing Awards will provide financial and technical support over a four-year period for states to test and evaluate multi-payer health system transformation models.,,,,,"CO,CT,DE,ID,IA,MI,NY,OH,RI,TN,WA","State Innovation Models Initiative, State Innovation Models Initiative: Model Test Awards, State & Community-Based Models, SIM Test Awards: Round Twoe",/innovation-models/state-innovations-round-two,TRUE,72
74
+ State Innovation Models Initiative: Round One,Not Active,25,State & Community-Based Models,Section 1115A of the Social Security Act,The first round of the State Innovation Models Initiative awarded nearly $300 million to 25 states to design or test innovative health care payment and service delivery models.,,,,,"AR,CA,CO,CT,DE,IA,ID,IL,MA,ME,MD,MI,MN,NH,NY,OH,OR,PA,RI,TN,TX,UT,VT,WA","State Innovation Models Initiative: Round One, SIM, State & Community-Based Models",/initiatives/State-Innovations-Round-One/,TRUE,73
75
+ State Innovation Models Initiative: Round Two,Not Active,32,State & Community-Based Models,Section 1115A of the Social Security Act,"The second round of State Innovation Models Initiative awards is providing over $665 million to support state-led, multi-payer health care payment and service delivery innovation.",,,,,"AS,AZ,CA,CO,CT,DC,DE,IA,ID,IL,KY,MD,MI,MP,MT,NH,NM,NJ,NV,NY,OH,OK,PA,PR,RI,TN,UT,VA,WA,WI,WV","State Innovation Models Initiative, State Innovation Models Initiative: Round Two, State & Community-Based Models, SIM Round Two",/initiatives/State-Innovations-Round-Two/,TRUE,74
76
+ Strong Start for Mothers and Newborns Initiative: Effort to Reduce Early Elective Deliveries,Not Active,,Health Plan Models,Section 1115A of the Social Security Act,The Strong Start effort to reduce early elective deliveries supported providers and mothers-to-be in their efforts to decrease the number of early elective deliveries and improve outcomes for mothers and infants.,,,,,,"Strong Start for Mothers and Newborns Initiative, Health Plan Models, Medicaid, Children's Health Insurance Program (CHIP), Partnership for Patients",/initiatives/Strong-Start-Strategy-1/,FALSE,75
77
+ Strong Start for Mothers and Newborns Initiative: Enhanced Prenatal Care Models,Not Active,182,Health Plan Models,Section 1115A of the Social Security Act,This initiative tested three evidence-based maternity care service approaches that aimed to improve the health outcomes of pregnant women and newborns.,,,,,"AK,AL,AR,AZ,CA,CT,DC,FL,GA,IL,KY,LA,MD,MI,MN,MO,MS,MT,NC,NE,NJ,NM,NV,NY,OK,OR,PA,PR,SC,TN,TX,VA,WI,WV","Strong Start for Mothers and Newborns Initiative, Health Plan Models, Medicaid, Children's Health Insurance Program (CHIP)",/initiatives/Strong-Start-Strategy-2/,TRUE,76
78
+ Transforming Clinical Practice Initiative,Not Active,41,State & Community-Based Models,Section 1115A of the Social Security Act,"A large-scale health transformation initiative that supported clinician practices in sharing, adapting and developing comprehensive quality improvement strategies.",,,,,"AK,AL,AR,AZ,CA,CO,CT,DE,FL,GA,HI,IA,ID,IL,IN,KS,KY,LA,MA,ME,MD,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,VT,WA,WI,WV,WY","State & Community-Based Models, Primary Care Transformation, Transforming Clinical Practice Initiative, TCPI, quality improvement strategies, clinicians, learning networks, population-based care, large-scale investment, value-based payment, infrastructure",/initiatives/Transforming-Clinical-Practices/,TRUE,77
79
+ Value in Opioid Use Disorder Treatment Demonstration Program,Not Active,53,Statutory Demonstrations and Other Projects,Section 6042 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act),"This demonstration aimed to increase access to opioid use disorder treatment services, improve physicial and mental health outcomes and reduce Medicare expenditures.",,,,,,"Disease-Specific & Episode-Based Models, Value in Opioid Use Disorder Treatment Demonstration Program, Opioids, Opioid Use Disorder (OUD), Value in Treatment (ViT), Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act)",/innovation-models/value-in-treatment-demonstration/,TRUE,78
80
+ Vermont All-Payer ACO Model,Active,1,"State & Community-Based Models, Accountable Care Models",Section 1115A of the Social Security Act,This alternative payment model incentivizes delivery of health care value and quality among significant Vermont payers to transform health care for Vermont's population.,,,,,VT,"State & Community-Based Models, Accountable Care, Vermont All-Payer ACO Model, Medicare, Medicaid, all payer, VT All-Payer ACO Model",/initiatives/vermont-all-payer-aco-model/,TRUE,79
81
+ Innovation Advisors Program,Not Active,71,Statutory Demonstrations and Other Projects,Section 1115A of the Social Security Act,"The Innovation Advisors Program began in December 2011 when the Center selected 75 individuals from 920 applicants. Of these, 73 accepted from 27 States and the District of Columbia. During 2012 these individuals participated in activities to deepen key skill sets related to CMS strategy, population health and care redesign.",,,,,,"Innovation Advisors Program, Statutory Models",/innovation-models/innovation-advisors-program,TRUE,80
82
+ Making Care Primary (MCP) Model,Active,"117 participants, 681 practices",Accountable Care Models,Section 1115A of the Social Security Act,"A voluntary, primary care model that seeks to improve care management, equip primary care clinicians to form partnerships with healthcare specialists and leverage community-based connections to address health-related social needs.",,,,,"CO,MA,MN,NM,NJ,NY,NC,WA","Making Care Primary (MCP) Model, MCP Model, Accountable Care Models, primary care, Medicare, specialists, health related social needs, HRSN, Fee-for-Service, FFS",/innovation-models/making-care-primary,TRUE,82
83
+ Guiding an Improved Dementia Experience (GUIDE) Model,Active,350,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,"The GUIDE Model will focus on dementia care management and aims to improve quality of life for people living with dementia, reduce strain on their unpaid caregivers, and enable people living with dementia to remain in their homes and communities.",,,,,"AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,IA,ID,IL,IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MT,NC,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,TN,TX,UT,VA,WA,WI,WY,WV","Guiding an Improved Dementia Experience (GUIDE) Model, GUIDE Model, dementia, caregivers, education, support, care management, voluntary models, Medicare Part A, Medicare Part B, Medicaid, respite services",/innovation-models/guide,TRUE,83
84
+ States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model,Active,6,State & Community-Based Models,Section 1115A of the Social Security Act,"AHEAD is a voluntary state total cost of care model with a goal of improving the total health of a participating state�s population, reducing disparities in health care outcomes, and limiting the growth of health care costs.",,,,,,"Accountable Care, Multi-Payer aligment, state selection, eligibility, All-Payer, health equity, hospital global budgets, primary care, AHEAD",/innovation-models/ahead,TRUE,84
85
+ Transforming Maternal Health (TMaH) Model,Active,15 states,State & Community-Based Models,Section 1115A of the Social Security Act,TMaH focuses on improving maternal health outcomes for Medicaid and Children's Health Insurance Program (CHIP) enrollees. TMaH supports the development of a whole-person approach to pregnancy while reducing access and treatment disparities.,,,,,,"Transforming Maternal Health (TMaH) Model, State & Community-Based Models, Pregnancy, maternal health, maternity, childbirth, delivery, postpartum care, mothers, babies, Medicaid, Children's Health Insurance Program (CHIP), equity, disparities, social needs, newborns, TMaH, tmah",/innovation-models/transforming-maternal-health-tmah-model,TRUE,85
86
+ Innovation in Behavioral Health (IBH) Model,Active,"4 (Michigan, New York, Oklahoma, and South Carolina)",State & Community-Based Models,Section 1115A of the Social Security Act,IBH is a voluntary state model for Medicare/Medicaid populations with mental health conditions and/or substance use disorders. IBH aims to improve behavioral/physical health outcomes and overall quality of care for this population.,,,,,,"Innovation in Behavioral Health (IBH) Model, IBH Model, Behavioral health, substance use disorders, SUD, Opioid Use Disorder, OUD, Medicaid",/innovation-models/innovation-behavioral-health-ibh-model,TRUE,86
87
+ Cell and Gene Therapy (CGT) Access Model,Announced - Applications Under Review,TBA,Prescription Drug Models,Section 1115A of the Social Security Act,The CGT Access Model is a voluntary model for states and manufacturers that tests whether a CMS-led approach to developing and administering outcomes-based agreements for cell and gene therapies improves access to innovative treatment.,,,,,,"Cell and Gene Therapy (CGT) Access Model, Sickle Cell Disease, Medicaid Drug Rebate Program",/innovation-models/cgt,TRUE,89
88
+ ACO Primary Care Flex Model,Active,24,Accountable Care Models,Section 1115A of the Social Security Act,The ACO Primary Care Flex Model is a voluntary model focused on improving funding and other resources to support primary care delivery in the Medicare Shared Savings Program. ,,,,,,"Accountable Care Organizations, ACOs, Primary Care, ACO PC Flex Model, ACO Primary Care Flex Model",/innovation-models/aco-primary-care-flex-model,TRUE,90
89
+ Transforming Episode Accountability Model (TEAM),Announced,N/A,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,TEAM is a proposed five-year mandatory episode-based alternative payment model that would incentivize coordination between care providers during a surgery as well as the services provided during the 30 days that follow. ,,,,,,"Transforming Episode Accountability Model (TEAM), healthcare innovation, innovation models, episode-based, mandatory models, care coordination, surgical and post-surgical care, acute care",/innovation-models/team-model,TRUE,91
90
+ Increasing Organ Transplant Access (IOTA) Model,Announced,103 kidney transplant hospitals,Disease-Specific & Episode-Based Models,Section 1115A of the Social Security Act,The Increasing Organ Transplant Model is a proposed mandatory model that aims to increase access to life-saving transplants for patients living with kidney disease.,,,,,,"Increasing Organ Transplant Access (IOTA) Model, Organs, Transplants, proposed, mandatory model, life-saving transplants, patients, chronnic kidney disease (CKD)",/innovation-models/iota,TRUE,92
91
+ Medicare Two Dollar Drug List Model,Not Active,N/A,Prescription Drug Models,Section 1115A of the Social Security Act,Medicare $2 Drug List Model (M2DL) is a proposed model under development to lower precription drug costs for people with Medicare.,,,,,,"Medicare Two Dollar Drug List Model, Medicare $2 Drug List Model, M2DL, precription drugs, Part D, generic prescription drugs, chronic conditions, copayments",/innovation-models/medicare-two-dollar-drug-list-model,TRUE,93