CMS Delays Serious Illness Population Model until April 2021

POSTED ON MONDAY, June 8, 2020 

CMS has announced that they are delaying the start of the performance period for the Serious Illness Population payment model. The program, previously set to begin January 1, will begin April 1, 2021.

“When it comes to a pandemic of the proportion we’re now experiencing, as part of ensuring that value-based payments are sustainable, the models must be adjustable to address the uniqueness of the current situation,” CMS Administrator Seema Verma wrote in Health Affairs. “That’s why, in response to COVID-19, CMS is providing new flexibilities and adjustments to current and future [Center for Medicare & Medicaid Innovation] models to address the emergency.”

“While many of our recent efforts have focused on driving the system toward value-based care faster, we’re adjusting the model implementation date for some of our new models and adjusting various deadlines for some of our existing models, to give providers additional time to transition to value-based care. We’re also delaying certain model reporting requirements so that providers can focus on patients instead of paperwork,” Verma said in Health Affairs.

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