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  2. Center for Medicare and Medicaid Innovation - Wikipedia

    en.wikipedia.org/wiki/Center_for_Medicare_and...

    The Center for Medicare and Medicaid Innovation (CMMI; also known as the CMS Innovation Center) is an organization of the United States government under the Centers for Medicare and Medicaid Services (CMS). [1] It was created by the Patient Protection and Affordable Care Act, the 2010 U.S. health care reform legislation.

  3. Oncology Care Model - Wikipedia

    en.wikipedia.org/wiki/Oncology_Care_Model

    The Affordable Care Act mandated the creation of the Center for Medicare and Medicaid Innovation (CMMI) as part of the Centers for Medicare and Medicaid Services (CMS). It was created to test new "payment and delivery system models" to be used by "Medicare, Medicaid, and the Children's Health Insurance Program."

  4. Bundled payment - Wikipedia

    en.wikipedia.org/wiki/Bundled_payment

    In January 2018, The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) introduced the successor to the BPCI program, BPCI Advanced, which is a voluntary episode payment model that will start on October 1, 2018, and run through December 31, 2023.

  5. Elon Musk's DOGE examines systems at $1.5 trillion Medicare ...

    www.aol.com/news/elon-musks-doge-examines...

    Elon Musk's Department of Government Efficiency representatives are at the Centers for Medicare & Medicaid Services this week examining payment and contracting systems of federal health agency ...

  6. Prospective payment system - Wikipedia

    en.wikipedia.org/wiki/Prospective_payment_system

    A prospective payment system (PPS) is a term used to refer to several payment methodologies for which means of determining insurance reimbursement is based on a predetermined payment regardless of the intensity of the actual service provided. It includes a system for paying hospitals based on predetermined prices, from Medicare.

  7. Healthcare reform in the United States - Wikipedia

    en.wikipedia.org/wiki/Healthcare_reform_in_the...

    State and federal initiatives, primarily sponsored CMMI (Center for Medicare and Medicaid Innovation) a division of CMS, seek to address basic social needs within the context of the healthcare delivery system. CMMI initiatives like the 2016 "Accountable Health Communities" (AHC) model have been created to focus on connecting Medicare and ...

  8. 'Rampant abuse of the system': Insurers made patients ... - AOL

    www.aol.com/finance/rampant-abuse-system...

    For example, Cigna Group agreed to pay $172 million last year to settle a lawsuit filed by the Justice Department over its Medicare Advantage practices for allegedly using in-home health risk ...

  9. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The responsibility for enrolling beneficiaries into Medicare and processing premium payments remained with SSA. HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12]