Magazine article Clinical Psychiatry News

Slavitt to Trump: Keep the CMS Innovation Center

Magazine article Clinical Psychiatry News

Slavitt to Trump: Keep the CMS Innovation Center

Article excerpt


WASHINGTON -- Acting Centers for Medicare & Medicaid Services Administrator Andy Slavitt has some advice for his successors at the CMS: Keep the Center for Medicare & Medicaid Innovation, even if you trash the Affordable Care Act.

The innovation center is vital to the success of the Quality Payment Program, the value-based payment framework set up by the Medicare Access and CHIP Re authorization Act (MACRA), Mr. Slavitt said in December at the National MACRA MIPS/APM Summit.

"MACRA can't work as well without a CMS innovation center that can move quickly to develop and expand new approaches to paying for care," Mr. Slavitt said. "With changes to the innovation center, the advanced alternative payment approaches could slow significantly. We will have a much narrower path with fewer specialty options and approaches, which take in patient and physician feedback. Medicare and commercial payers would then fall further out of alignment, and more importantly, less patients would have access to innovative care methods."

Mr. Slavitt offered a few other recommendations to the next regime. First, he called on the Trump administration to ensure that the 20 million people who have obtained health care coverage under the ACA do not lose it as a key to continued delivery system reform.

"Build from a foundation of progress; do not head backwards," Mr. Slavitt advised. "There can be no delivery system reform without building on the foundation of reaching universal coverage. …

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