Accelerating states’ efforts on Medicaid delivery system reform

By Cindy Mann, Deputy Administrator and Director, Center for Medicaid & CHIP Services and Patrick Conway, M.D., Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer

As part of its commitment in working with states to improve care and improve health for Medicaid beneficiaries, and through these improvements, reduce costs, the Centers for Medicare & Medicaid Services (CMS) is launching a new collaborative initiative called the Medicaid Innovation Accelerator Program. Over $100 million will be invested over five years to help states accelerate the development and testing of new state-led payment and service delivery innovations to improve health, improve care and decrease costs for individuals enrolled in Medicaid.

Over the past few years, CMS has listened to and consulted with states and stakeholders on health care reform efforts. Based on these discussions and the recommendations from the National Governors Association’s (NGA) Health Care Sustainability Task Force, this initiative will focus on key targeted areas to support state leaders and jumpstart states’ efforts to undertake Medicaid delivery system and payment reform.

All states can be laboratories for health care reform. Fifteen states have initiated comprehensive health homes for people with multiple chronic conditions. Several states have developed shared savings payment models. Thirteen states are testing new delivery and payment models for people who are dually eligible for Medicaid and Medicare. And twenty-five states are currently participating in the CMS Innovation Center’s State Innovation Models initiative. While payment and service delivery innovation is well underway in states, there are gaps and challenges that can be addressed. The Medicaid Innovation Accelerator Program will help strengthen state Medicaid program capabilities in technical areas such as data analytics, service delivery and financial modeling, quality measurement and rapid cycle evaluation to move their Medicaid payment and service delivery models to the next level.  

We are excited to be able to offer this new set of technical assistance resources to state leaders to improve their health care systems and provide better health care for their residents with Medicaid, at lower cost.    

For more information on the Medicaid Innovation Accelerator Program, please visit:

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