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I have added the link for the website.
Go to the CMS Innovation website (https://innovation.cms.gov/innovation-models#views=models) and select a payment and service-delivery model related to payment and quality reform. The “Innovation Models” page provides a list of models. All of these models relate to payment and quality reform, but in different ways. Select a model of interest and think about how the specific model relates to payment and quality reform.
Then, in your post, address the following:
Explain the need to move from a volume-based to value-based payment plan.
Discuss the specific model and how it will impact the Triple Aim of quality, equity, and efficiency.
Response Posts:
In response to at least two of your peers, compare how the Triple Aim of equality, equity, and efficiency has impacted the payment and delivery model you chose against the choices of your peers.
Which aim do you think the reform has the most impact upon? Do you think the model will be able to endure the test of time? How would the model impact you as a healthcare professional?
1st classmate post:
For my innovation model, I’ve chosen Accountable Care Organization. Accountable Care Organization (ACO) is a collection of health care providers who consent to share responsibility for the cost, quality, and care coordination with associated incentives for a distinct population of patients. With the shift to value-based compensation, it is even more vital to recognize the elements of an ACO. Primary care is the base of an effective ACO that uses clear performance measures to accomplish the expanded aim of refining population health, elevating patients’ care experiences, and decreasing the overall cost of care. Long-established or traditional models of healthcare compensation, pay providers, dependent on the quantity of the healthcare they deliver, in other words, compensating for services given. The value-based is the quality of care not the quantity of care.
Accountable care organizations. Medicare. (n.d.). Retrieved June 21, 2022, from https://www.medicare.gov/manage-your-health/coordinating-your-care/accountable-care-organizations
2nd classmate post:
I chose the Integrated Care for Kids Model (InCK) which is a state payment model intended to reduce expenses and improve quality of care of Medicaid patients (under age 21) through treatment, prevention, and early identification. Launched in early 2020, the InCK model is active in Connecticut, Illinois, North Carolina, New Jersey, New York, Ohio, and Oregon. This model aims to focus on early identification and treatment of children with high risk factors for physical and behavioral health, coordination of care and case management, and state specific payment models to better align payment with care quality.
This plan effectively moves from volume-based care emphasis to value based as the intention is to identify high risk populations and focus on preventative care and early intervention, which has better value-based outcomes in both the patient and financial aspects. The expected improved outcomes are prevention of avoidable inpatient stays and outpatient placements due to chronic conditions and the population’s high risk of substance abuse disorders.
In context of the Triple Aim:
Quality of care is improved by focusing on preventative care and early intervention. The InCK aligns payment with care quality to ensure that the provider focus is on quality of care and associates higher quality of care with reimbursement payment models.
Equity of care is improved by focusing on high-risk populations to ensure that this population has access to high quality preventive care with early intervention and substance abuse prevention. This program also eliminates barriers for this at-risk population to access quality healthcare.
Efficiency is improved when this population receives treatment as needed in an outpatient setting, preventing unnecessary inpatient admission, and preventing substance abuse disorders which warrant high levels of care to treat in this identified high risk population.
Integrated Care for Kids (InCK) Model | CMS Innovation Center

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