CMMI Evaluation Digest April 2022

 

 

April 2022 This newsletter highlights recently released Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) evaluation reports and publications. You can access reports by going to the data and reports page of the Innovation Center website. Reports highlighted in this edition: Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model: Third Evaluation Report (Model Years 1 & 2) Maternal Opioid Misuse (MOM) Model: Pre-implementation Period Evaluation Report Million Hearts® Cardiovascular Disease Risk Reduction Model (Million Hearts® Model): Fourth Annual Evaluation Report

 

Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model: Third Evaluation Report (Model Years 1 & 2) Third Evaluation Report - Key Takeaways: Hospitals and physician group practices (PGPs) participating in the BPCI Advanced Model reduced Medicare fee-for-service payments primarily by reducing post-acute care use. Evidence from the independent evaluation indicates that for surgical episodes overall, BPCI Advanced achieved net savings to Medicare and possibly improved quality of care, driven mostly by orthopedic procedures. Savings from surgical episodes, however, were fully offset by losses from medical episodes. Evidence indicates that, generally, target prices were too high for medical episodes but were more accurate for surgical episodes. CMS made significant design changes starting in Model Year 4 (2021) to improve the model’s target pricing, which will be analyzed in future evaluation reports. The Two Page Overview: Findings At-a-Glance (PDF) The Report (includes an Executive Summary): Third Evaluation Report (PDF) Go directly to the Executive Summary (PDF) Additional Supporting Materials: Appendices (PDF) - Methods and Supporting Tables Model Page: Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model Maternal Opioid Misuse (MOM) Model: Pre-implementation Period Evaluation Report Pre-Implementation Period Evaluation Report - Key Takeaways: Maternal Opioid Misuse (MOM) Model awardees and their partners hope to relieve physical and psychosocial barriers to opioid use disorder treatment for pregnant and postpartum people. Barriers to treatment include transportation, childcare issues, and stigma. MOM Model enrollment began in July 2021 for six of eight awardees. The Two Page Overview: Findings-At-A-Glance (PDF) The Report (includes an Executive Summary): Pre-Implementation Evaluation Report (PDF) Go directly to the Executive Summary (PDF) Additional Supporting Materials: Model Page: Maternal Opioid (MOM) Misuse Model Million Hearts® Cardiovascular Disease Risk Reduction Model (Million Hearts® Model): Fourth Annual Evaluation Report Fourth Annual Evaluation Report - Key Takeaways:  Through the end of the fourth year, the Million Hearts® Model has improved cardiovascular disease (CVD) preventive care, as shown by provider’s increased use of CVD risk assessment and beneficiaries’ increased use of statins and antihypertensive medications. These changes have contributed to reductions in overall predicted risk of having a heart or attack or stroke in 10 years, primarily driven by reductions in blood pressure and low-density lipoprotein (LDL) cholesterol. Most organizations that continued to participate in the model plan to sustain changes related to using CVD risk assessments. The Two Page Overview: Findings-At-A-Glance (PDF) The Report (includes an Executive Summary): Fourth Annual Evaluation Report (PDF) Go directly to the Executive Summary (PDF) Additional Supporting Materials: Appendices (PDF) - Methods and Supporting Tables Model Page: Million Hearts® Cardiovascular Disease Risk Reduction Model (Million Hearts® Model)

 

The CMS Innovation Center maintains a portfolio supporting the development and testing of innovative health care payment and service delivery models. It performs evaluations of these models and makes the results available to the public. Bringing you the latest CMS Innovation Center Evaluation Results: Watch out for future issues of our Evaluation Digest,  check out the CMS Innovation Center website, and follow us on Twitter.