CMMI is Medicare's Center for Innovation, created by the 2010 Affordable Care Act and having a mixed history, probably a weak history, given the 15 years and billions of dollars of experience.
See a new article by Gita Deo, chief of staff of CMMI, and Abe Sutton, head of CMMI. It's in Health Affairs open access:
https://www.healthaffairs.org/do/10.1377/hauthor20251114.865163/full/
To me, the most interesting thing about the short article was the tone. It gets pretty close to, "Don't do X. Only idiots do X."
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CMMI's themes are to protect patients, protect providers, and protect taxpayers. All models should include downside risk because this is most always a hallmark of previous, successful models. Downside risk means, don't just spread money on top of problems.
Also, be sure you have rock-solid outcome measures. By law, CMMI projects to succceed must save costs and improve quality (or save costs at same quality). Meaning you have to have a control group, whether randomized or constructed, against which outcomes can be quantified.
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Gita Deo is chief of staff at CMMI; she previously did a master's in public health and worked in a provider system and at McKinsey. Sutton worked previously at McKinsey and at the Trump-01 White House, where he lead some effective renal initiatives. He used the interregnum (Biden) to pick up a law degree at Harvard.
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