Center for medicare and medicaid innovation fy18 budget

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Join the Health Reform 2. Here are key takeaways: 1. The Innovation Center seems poised to spend an additional amount in FY 18 suggesting that ongoing demonstrations will continue. This may surprise some given the deep cuts throughout the rest of the HHS budget, as well as critiques of the Innovation Center from the new Secretary.

But innovation is something this Administration has touted as their preferred path to reform. Many of the demonstrations at the Innovation Center have had bipartisan support, and are spread throughout the country, garnering many stakeholders and supporters across the political spectrum.

The amounts included for reflect the annualized level provided by the Continuing Resolution. Detail in this document may not add to the totals due to rounding. This approach allows increases and decreases in this book to reflect true funding changes.

The FY and FY mandatory figures reflect current law and mandatory proposals reflected in the Budget. The Department of Health and Human Services HHS is enhancing the health and well-being of the American people by providing effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services.

Achieving these goals will require HHS to make strategic investments and carry out our mission in the most effective manner possible. The Budget focuses resources on direct services and proven investments while streamlining or eliminating programs that are duplicative or have limited impact.

The Budget ensures that Medicaid and other programs focus on the most vulnerable Americans that they were intended to serve—the elderly, people with disabilities, children, and pregnant women.

Failing to tackle unsustainable deficit spending means passing growing debt on to our children and grandchildren and creating serious economic damage. Over the next ten years, interest payments on our national debt are projected to consume trillions of dollars and surpass annual spending on national defense, Medicaid, or science. Without action, future generations of Americans will be burdened with unsustainable debt.

The Budget begins the process of expanding choices for individuals and families; enabling market forces and competition to encourage innovation and restrain costs; encouraging self-sufficiency; and promoting federalism, allowing States and localities the flexibility they need to serve their populations. The Administration urges the Congress to continue its work to repeal and replace Obamacare.

The Administration will continue to work with Congress to provide for a stable transition from the burdensome requirements of Obamacare to a health care system that provides Americans with access to care that meets their needs and increases options for patients and providers. The Administration also supports State flexibility to create a free and open health care market and will empower States to make decisions that work best for their markets. To this end, the Budget reforms Medicaid funding to States starting in FY through either a per capita cap or a block grant.

The Budget also provides other flexibilities to States and encourages them to innovate and test new ideas that will improve access to care and health outcomes. Modernizing the Medical Liability System The current medical liability system disproportionately benefits a relatively small group of plaintiffs and trial lawyers at the expense of adding significantly to the cost of health care for every American and imposing a significant burden on health care providers.

The current medical liability system does not work for patients or providers, nor does it promote high-quality, evidence-based care. A significant portion of these savings are attributable to the estimated reduction in unnecessary services and curbing the practice of defensive medicine.

These medical liability reforms will benefit all Americans by cutting unnecessary health care spending. In addition to reducing health care costs, these reforms will help physicians focus on patients and on evidence-based medicine rather than on frivolous lawsuits. By providing a safe harbor based on clinical guidelines, physicians can focus on delivering effective care, and - if an inherently risky medical procedure does not work out as intended - physicians will be able to express sympathy to a grieving family without fear of giving rise to a lawsuit.

Enhancing Direct-to-Patient Relationships HHS is committed to reducing regulatory burdens facing medical professionals, especially those serving in rural areas. To achieve this goal, HHS continues to look for ways to improve or eliminate regulations that impede the ability of medical professionals to provide the best possible care to their patients.

HHS also believes that health care providers are a valuable resource whose input and ideas are essential to a positive health care reform effort. HHS also is committed to an open and transparent process for developing new voluntary payment models that providers can participate in. Finally, HHS has established various avenues of technical assistance to help clinicians be successful in providing efficient, high-quality care to their patients.

Direct Primary Care practices, in which physicians offer primary care services to patients at a set price, generally without payer or insurer involvement, are a mechanism to improve physician-patient relationships.

Some State Medicaid programs are already testing this innovative care delivery model. HHS will explore opportunities for States and providers to further expand Direct Primary Care, which will support improved health outcomes for Medicaid populations.

The Department coordinates the prevention of, preparation for, and response to public health emergencies and disasters. It supports numerous critical activities to enhance the Federal, State, and local capacity to respond to public health disasters—from outbreaks of infectious disease to chemical, biological, radiological, nuclear, and cyber threats.

This includes maintaining key investments in biodefense capabilities. Emergency preparedness initiatives to address pandemic influenza, as well as the research and development of medical countermeasures, are described in greater detail below. Pandemic Influenza The Budget supports activities within the Public Health and Social Services Emergency fund to respond to and protect the American people from pandemic influenza threats, such as the H7N9 virus circulating in China.

These activities include maintenance of the current stockpiles of vaccines as well as sustaining domestic vaccine manufacturing infrastructure. Human infections with a new avian influenza H7N9 virus were first reported internationally in China in March The World Health Organization has reported human infections with the H7N9 virus during the fifth epidemic, making it the largest to date.

This count brings the cumulative number of H7N9 cases reported by the World Health Organization to 1, Using these funds, the Department partners with industry leaders to develop an effective response capability to protect Americans from radiological, nuclear, chemical, and biological threats.

The Department supports a broad portfolio of countermeasures to bridge the gap from early discovery to advanced development and procurement. These investments meet a unique Federal role to partner with industry in developing drugs and other countermeasures for which a sufficient market is lacking.

Preparedness Grants The Budget restructures HHS preparedness grants to direct resources to States with the greatest need and innovative approaches. The grants will support entities that are most innovative in their approach to health care delivery system readiness and public health preparedness. The opioid epidemic is the deadliest drug epidemic in American history. Deaths from opioid overdose have risen steadily over the past two decades and have become the leading cause of death from injury in the United States, claiming 91 lives every day.

We are losing more Americans to overdoses every year than we did during the entire Vietnam War. The Administration has made combating opioid abuse and fighting addiction an Administration-wide effort and priority, and the Budget reflects this commitment.

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To achieve this, CMS will empower patients and doctors to make decisions about their health care while reducing burdensome regulations and building a patient-centered system of care that increases competition, quality, and access. CMS will usher in a new era of state flexibility and local leadership. Because the States are in the best position to assess the unique needs of their populations and drive reforms, this shift will result in better health care outcomes.

Medicare The Budget does not include any direct Medicare cuts. The Budget proposes to repeal the Independent Payment Advisory Board and also provides resources and signals a commitment to reform the Medicare appeals process. The Budget includes an initiative that helps to rebuild the patient-physician relationship.

Finally, the Budget extends CHIP for two years through FY , along with reforms to return the focus of the program to the most vulnerable low-income families and children that the program was intended to serve. The Budget promotes efficient operations and funds necessary activities to continue to operate the Exchanges in Twelve years after its founding, CMMI has disappointed these expectations.

Only 6 of the more than 50 models it has tested have met de minimis measures of success no increase in federal spending or diminution of quality. The incremental savings associated with these 6 models have been more than offset by a string of failed concepts. More significantly, none of the demonstration projects deemed successful has resulted in scalable reforms that meet statutory criteria of reducing health care spending or enhancing its quality. CMMI has increased federal spending without producing meaningful reforms of federal health care entitlement programs.

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