CHA News Article

CMS Seeks Comments on Potential Patient Engagement Initiatives
Plans to test new models that encourage beneficiary engagement, work toward Triple Aim

The Centers for Medicare & Medicaid Services (CMS) has released a request for information (RFI) to solicit ideas regarding potential patient engagement initiatives. The RFI seeks responses from clinicians, clinician practices, health care institutions, Medicaid/CHIP agencies, external quality review organizations, quality improvement organizations, advocacy organizations, health plans, employers, purchasers, consumers, research and policy groups, external quality review organizations, community-based providers and other members of the public about how to improve engagement of CMS beneficiaries in health care in order to generate better care and better health at lower costs.

The Affordable Care Act authorizes CMS’ Center for Medicare and Medicaid Innovation (CMMI) to test innovative payment and service delivery models that have the potential to reduce program expenditures while preserving or enhancing the quality of care for Medicare, Medicaid, Medicare-Medicaid and CHIP beneficiaries. Suggested models would complement CMS’ existing portfolio of models that use innovative methods to increase beneficiary engagement. CMS has indicated it is especially interested in models that use evidence-based social and behavioral insights and methods from behavioral economics, social psychology and incentive design to encourage enrollment in the models and motivate continued engagement.

CMS anticipates publishing a separate RFI to solicit ideas related to Medicare Parts C and D, Medigap organizations, Medicaid, Medicare-Medicaid beneficiaries or CHIP managed care, and information related to value-based insurance design (VBID). In the current RFI, CMS plans to solicit ideas for engaging beneficiaries in Medicare Parts C and D, Medigap organizations, Medicaid and CHIP managed care. CMS is interested in suggestions from all parties for how incentives and behavioral insights may help to improve beneficiary engagement, but anticipates that potential models resulting from this RFI will not include VBID issues.

Comments should be submitted electronically through the CMMI web page by 11:59 p.m. on Sept. 15. All comments must be typed into the text boxes and submitted in Microsoft Word or Adobe PDF file formats. CMS will not accept hard copy responses. Responses to this request are voluntary and should be limited to no more than 200 words per question. Responses to the entire RFI should be no more than 2,500 words, double-spaced. For further information, stakeholders are encouraged to contact BenEngage@cms.hhs.gov with “RFI” in the subject line.

CHA and the Hospital Quality Institute anticipate submitting comments to the RFI. For more information on the CMMI models, visit http://innovation.cms.gov.

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