Choose a CMS Innovation Center project or similar innovative program through a commercial payer
Paper must be 5 pages not including Reference page, use double spacing, 12 point Times New Roman font. References and citations must follow APA style guidelines.
1. Choose a CMS Innovation Center project or similar innovative program through a commercial payer (BCBS, UnitedHealthcare, Aetna, etc.).
Remember: focused on health insurance and managed care. The program must have an innovative payment method, not just innovative care delivery. Examples include: Next Generation ACO Model, Comprehensive ESRD Care Model, Bundled Payments for Care Improvement (BPCI) Initiatives, Comprehensive Care for Joint Replacement Model.
2. Describe the program goals, methods, and participants.
3. How is a provider traditionally paid for the services covered in this program? How does this model change their payment type?
4. How is/was this program evaluated? How do we know if it is/was successful?
5. Can this program be replicated in other settings of care or with other providers? What recommendations do you have to apply the findings of this program to other high-spend areas of healthcare?
6. What recommendations do you have to improve this program?