Health Care Innovation Awards
The Health Care Innovation Awards are grants to applicants who will implement the most compelling new ideas to deliver better health, improved care and lower costs to people enrolled in Medicare, Medicaid and Children's Health Insurance Program (CHIP), particularly those with the highest health care needs.
The CMS Innovation Center announced the first batch of awardees for the Health Care Innovation Awards on May 8, 2012 and the second (final) batch on June 15, 2012. The following awards involve Medicaid beneficiaries. More information on each of the projects can be found at http://innovation.cms.gov/initiatives/Innovation-Awards/index.html or you can download a .
- Projects shown may also be operating in other states (see the Geographic Reach)
- Descriptions and project data (e.g. gross savings estimates, population served, etc.) are 3 year estimates provided by each organization and are based on budget submissions required by the Health Care Innovation Awards application process.
- While all projects are expected to produce cost savings beyond the 3 year grant award, some may not achieve net cost savings until after the initial 3-year period due to start-up-costs, change in care patterns and intervention effect on health status.
The CMS Innovation Center has a number of initiatives and demonstrations underway that encourage better care and better health, innovative projects that test new payment and service delivery models to deliver high-quality health care services and lower costs. See these examples below:
COMPREHENSIVE PRIMARY CARE INITIATIVE
The Comprehensive Primary Care (CPC) initiative is a multi-payer initiative fostering collaboration between public and private health care payers to strengthen primary care. Medicare will work with commercial and State health insurance plans and offer bonus payments to primary care doctors who better coordinate care for their patients. Primary care practices that choose to participate in this initiative will be given resources to better coordinate primary care for their Medicare patients. In some instances, the CMS Innovation Center is also providing Medicaid fee-for-service care management fees to practices. More information about this initiative can be found at http://innovation.cms.gov/initiatives/Comprehensive-Primary-Care-Initiative/index.html.
MEDICAID EMERGENCY PSYCHIATRIC DEMONSTRATION
This Demonstration will test whether Medicaid can support higher quality care at a lower total cost by reimbursing private psychiatric hospitals for certain psychiatric services for which Medicaid reimbursement has historically been unavailable.
CMS worked collaboratively with private non-profit organizations and across the Department of Health and Human Services (HHS) to develop this demonstration. Partners included the National Association of Psychiatric Health Systems (NAPHS), and, within HHS, the Office of the Assistant Secretary for Planning & Evaluation (ASPE) and the Substance Abuse and Mental Health Services Administration (SAMHSA).
More information on this project can be found at http://innovation.cms.gov/initiatives/Medicaid-Emergency-Psychiatric-Demo/index.html.
MEDICAID INCENTIVES PROGRAM FOR THE PREVENTION OF CHRONIC DISEASES
Interventions that address the behavioral or social circumstances that influence participation in preventive health services and/or otherwise have a positive impact on outcomes of preventive health services may contribute to improving health and decreasing growth in health care expenditures.
Section 4108 of the Affordable Care Act authorizes grants to States to provide incentives to Medicaid beneficiaries of all ages who participate in prevention programs and demonstrate changes in health risk and outcomes, including the adoption of healthy behaviors. Additional information about this program can be found at http://innovation.cms.gov/initiatives/MIPCD/index.html.
STATE INNOVATION MODELS
The State Innovation Models initiative is a $275 million competitive funding opportunity for States to design and test multi-payer payment and delivery models that deliver high-quality health care and improve health system performance.
States are an important partner in health care, providing services through Medicaid, the Children’s Health Insurance Program (CHIP) and their public health departments. States are in a unique position to develop and test innovative models that can help support efforts that can deliver better health, better care and lower costs.
Additional information about the State Innovations Models can be found at http://innovation.cms.gov/initiatives/state-innovations/index.html.
STRONG START FOR MOTHERS AND NEWBORNS
The Strong Start initiative supports reducing the risk of significant complications and long-term health problems for both expectant mothers and newborns.
Babies born prematurely are a growing public health problem with significant consequences for families and an estimated cost to society of at least $26 billion each year. Each year, this is more than half a million infants in the United States, a number that has grown by 36 percent over the last 20 years.
Infants born preterm are at greater risk for mortality and many endure a lifetime of developmental and health problems. In addition to enormous medical needs, these children often require early intervention services, special education and have conditions that impact their productivity as adults.
This initiative builds on decades of work by organizations like ACOG, the March of Dimes, the National Partnership for Women and Families, the Society for Maternal-Fetal Medicine, and Childbirth Connection, showing that elective deliveries before 39 weeks increase the risk of significant complications for both the mother and the baby, as well as long-term health problems. In addition, Strong Start’s goals and focus were identified with the help of experts at the Centers for Disease Control and Prevention (CDC), National Institutes of Health (NIH), ACF and HRSA.
Strong Start includes two strategies:
- Public-Private Partnership to Reduce Early Elective Deliveries. Building on the work of the Partnership for Patients, this initiative will test ways to encourage best practices and supports providers in reducing early electives deliveries prior to 39 weeks. CMS will also team up with advocacy and professional organizations to increase current public awareness efforts and develop new ones. See what you can do to help reduce early elective deliveries.
- Funding Opportunity for Testing New Approaches to Prenatal Care. CMS is making funding available for providers, states and other eligible applicants to test the effectiveness of three enhanced prenatal care approaches to reduce preterm births for women covered by Medicaid who are at risk for preterm births.
More information on the Strong Start initiative can be found at http://innovation.cms.gov/initiatives/Strong-Start/index.html.