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Charting a Path for the Medicare Advantage Value-Based Insurance Design Model: Innovating to Meet Person-Centered Needs

The Affordable Care Act (ACA) authorizes the Centers for Medicare & Medicaid Services (CMS) to test innovative health care payment and service delivery models that have the potential to lower Medicare, Medicaid, and Children’s Health Insurance Program spending while maintaining or improving the quality of care. The law requires an evaluation of each model to assess quality of care outcomes and Read more about Charting a Path for the Medicare Advantage Value-Based Insurance Design Model: Innovating to Meet Person-Centered Needs
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Important New Changes to Improve Access to Behavioral Health in Medicare

As we emerge from the COVID-19 public health emergency, it is increasingly clear that we must swiftly improve access to effective mental health and substance use disorder (collectively called behavioral health) treatment in order to meet the growing demand for such services. For older Americans and people with disabilities enrolled in Medicare, many individuals have felt the effects of worsening Read more about Important New Changes to Improve Access to Behavioral Health in Medicare
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CMS Innovation Center’s One-Year Update on the Executive Order to Lower Prescription Drug Costs for Americans

This October marks one year since President Biden issued Executive Order 14087 “Lowering Prescription Drug Costs for Americans,” which complements the historic provisions in the Inflation Reduction Act that lower prescription drug costs. The Secretary of Health and Human Services, in response to the order, delivered a report to the White House outlining three selected models aimed at improving Read more about CMS Innovation Center’s One-Year Update on the Executive Order to Lower Prescription Drug Costs for Americans
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CMS Launches Action Plan for Sickle Cell Disease Month

Everyone deserves a fair and just opportunity to attain their optimal health and well-being. For far too long, this ideal has felt out of reach for many individuals living with Sickle Cell Disease (SCD). Sickle Cell Disease – an inherited blood disorder, affects approximately 100,000 individuals in the United States, the majority of whom are Black/African American, and/or Hispanic. Too often Read more about CMS Launches Action Plan for Sickle Cell Disease Month
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Organ Transplantation Affinity Group (OTAG): Strengthening accountability, equity, and performance

Improving the organ transplantation system is a priority for the Biden-Harris Administration. In 2021, the Department of Health and Human Services Secretary Becerra established a coordinated effort to improve organ donation, procurement, and transplantation. Led by the Centers for Medicare & Medicaid Services (CMS) and the Health Resources and Services Administration (HRSA), this collaborative Read more about Organ Transplantation Affinity Group (OTAG): Strengthening accountability, equity, and performance
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CMS is Taking Action to Address Benefit Integrity Issues Related to Hospice Care

Effective oversight and enforcement are important to protect the integrity of the Medicare program, especially for vulnerable, seriously ill individuals and their families. The Centers for Medicare & Medicaid Services (CMS) has an important role to play in ensuring that hospices are providing necessary and critical, high-quality care to our Medicare beneficiaries at the end of life. Hospice, at Read more about CMS is Taking Action to Address Benefit Integrity Issues Related to Hospice Care