MACRA

• What is MACRA (CMS)
• MACRA Congressional Request for Information (comments due October 31, 2022)
• MACRA resources by specialty (AMA)
• The (SGR) Fix Is In: How MACRA Short-Circuited Incentives for Joining Two-Sided Models (Health Affairs, 2021)
• MACRA made simple (Advisory Board, 2019)
• The Medicare Access and CHIP Reauthorization Act of 2015: Incentivizing Value Over Volume (HCTTF 2020)
• Approaches to MACRA implementation: Balancing MIPS and A-APMs (MedPAC 2017)

Advanced APM Incentive Extension Resources

• Alternative Payment Models (APMs) Overview (CMS)
• Over 800 physician and health care associations, health systems, provider practices and ACOs urge Congress to extend Advanced Alternative Payment Model Incentive Payments (2022)
• Extend Medicare Advanced APM Incentive Payments (Premier)

Episode Based Payments

• What are Bundled Payments? (NEJM Catalyst 2018)
• CMS Innovation Center Episode Payment Models (CMS 2020)
• Bundled Payments for Care Improvement Advanced (BPCI-A) Model Webpage (CMS)
• Comprehensive Care for Joint Replacement Model (CMS)
• Bundled Payments for Care Improvement (BPCI) (CMS)
• Bundled Payments for Care Improvement (BPCI) Initiative: Public Toolkit (CMS 2018)
• Predictors of Success in Bundled Payments for Care Improvement Program (J. Gen Intern Med 2021)
• How One Hospital has Succeeded in a World of Bundled Payments (Harvard Business Review 2021)
• Successes and Failures with Bundled Payments in the Commercial Market (AJMC 2020)
• Bundled Payments: Market Trends and Markers of Success (AHA 2019)
• Association between Hospital Participation in a Medicare Bundled Payment Initiative and Payments and Quality Outcomes for Lower Extremity Joint Replacement Episodes (JAMA 2016)
• Improvement in Total Joint Replacement Quality Metrics Year One Versus Year Three of the Bundled Payments for Care Improvement Initiative  (Journal of Bone and Joint Surgery 2016)

Primary Care Transformation

• Comprehensive Primary Care Initiative Model Webpage (CMS)
• Comprehensive Primary Care Practice Spotlights (CMS)
• Comprehensive Primary Care Initiative: Resources (CMS)
• The Comprehensive Primary Care Initiative: Effects on Spending, Quality, Patients and Physicians (Health Affairs 2018)
• Comprehensive Primary Care Plus Model Webpage (CMS)
• Where does Comprehensive Primary Care Plus (CPC+) Lead Primary Care? Lessons Learned in Ohio and Northern Kentucky (Millbank Memorial Fund 2022)
• Primary Care First Model Webpage (CMS)

Medicare Shared Savings Program Accountable Care Organizations

• The Medicare Shared Savings Program Webpage (CMS)
• The ABCs of ACOs (Kaiser Health News)
• Medicare Shared Savings Program Saves Medicare More Than $1.6 Billion in 2021 and Continues to Deliver High-quality Care (CMS 2022)
• Shared Savings Program ACOs Cut Costs Again, with 58% Earning Payouts (RevCycle Intelligence 2022)
• MSSP Program Statutes and Regulations (CMS)

Oncology Care Models

• Oncology Care Model Webpage (CMS)
• Enhancing Oncology Model Webpage (CMS)
• Oncology Care Model Key Drivers and Change Package (CMS 2020)
• Video: Oncology Care Model Experiences – Northwest Medical Specialties (2018)
• Video: Oncology Care Model Experiences – the Center for Cancer and Blood Disorders (2018)
• A patient-focused approach to oncology care, beneficiary resource (Medicare.gov)
• Reflections on the Oncology Care Model and Looking Ahead to the Enhancing Oncology Model (JCO Oncology Practice: An American Society of Clinical Oncology Journal)

Kidney Care Models

• Comprehensive ESRD Care Model Webpage (CMS)
• Case Study: Fresenius Kidney Care’s Home Dialysis Program (CMS 2020)
• Case Study: Atlantic Dialysis Management Services’ Patient Navigator Program (CMS 2019)
• Case Study: Centers for Dialysis Care’s Patient Advisory Committees (CMS 2019)
• Case Study: Rogosin Institute’s Initiative to Promote Health Literacy (CMS 2018)
• The Medicare CEC Model: Using Lessons Learned to Improve Value-based Kidney Care (Health Affairs 2022)
• ESRD Treatment Choices Model Webpage (CMS)
• Kidney Care Choices Model Webpage (CMS)

General Innovation Center and Value Resources

• Synthesis of Evaluation Results across 21 Medicare Models (CMS 2022)
• Building on the CMS Strategic Vision: Working Together for a Stronger Medicare (Health Affairs 2022)
• The Medicare Value-Based Care Strategy: Alignment, Growth and Equity (Health Affairs 2022)
• Innovation Center Strategy Refresh (CMS 2022)
• CMS Innovation Center at 10 Years – Progress and Lessons Learned (New England Journal of Medicine 2021)