CMMI Initiatives May Fall Short of Previous Savings Projections

Posted on Monday, January 27, 2020 12:33 PM

The Center for Medicaid and Medicare Innovation (CMMI) is going to save much less than the Congressional Budget Office (CBO) expected according to a new analysis by Avalere.  The CBO projected a savings of $34 billion from 2017 to 2026, while Avalere is saying they should expect to see savings closer to $18 billion. 

“CMMI’s impact on Medicare spending has not reached earlier projections by the [CBO], demonstrating the difficulty in projecting savings from untested and future unknown alternative payment models,” Avalere stated in its analysis summary. 

CBO had assumed that CMMI could identify the cost saving demonstrations and discontinue the ones that did not result in significant saving. This is a main reason why their projections appear to be overinflated. 

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