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Opioid Use Disorder Treatment Demonstration Program the Innovation Center is working to cholesterol medication dry mouth generic 60 pills abana with mastercard implement Section 6042 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018 cholesterol test cpt code discount 60pills abana with visa, which requires the Secretary to cholesterol lowering foods american heart association discount abana 60 pills overnight delivery implement a demonstration program to cholesterol ratio below 3 purchase abana 60 pills otc increase access to opioid use disorder treatment services, improve physical and mental health outcomes, and to the extent possible, reduce Medicare expenditures. The demonstration will test whether paying eligible providers a care management fee for new opioid use disorder treatment services not otherwise covered by Medicare, along with a performance-based incentive payment adjustment, will achieve these goals. The statute requires that the demonstration be implemented no later than January 1, 2021 and run for 4 years. Models that Address Social Determinants of Health Accountable Health Communities Model this model addresses a critical gap between clinical care and community services in the current healthcare delivery system. These organizations test promising approaches to link beneficiaries with community services that address their health-related social needs. Models that Bring Value to Healthcare Radiation Oncology Model this proposed model seeks to improve the quality of care for cancer patients receiving radiotherapy treatment, and to reduce provider burden by moving toward a simplified and predictable payment system. This patient-centered and provider-focused innovative payment model would test whether prospective episode-based payments to physician group practices, hospital outpatient departments, and freestanding radiation therapy centers for radiotherapy episodes of care reduce Medicare expenditures while preserving or enhancing the quality of care for Medicare beneficiaries. Primary Care First Model this model offers physicians a set of voluntary, innovative payment options that seek to reward value and quality, and support delivery of advanced primary care. The model will test whether prioritizing the doctor-patient relationship, enhancing care for patients with complex chronic needs and seriously ill patients, reducing administrative burden, and focusing financial rewards on improved health outcomes will reduce Medicare spending by preventing avoidable inpatient hospital admissions. The model will be tested over six performance years, with two staggered cohorts of participating practices, each participating for five performance years. One cohort will participate in the model from 2021 through 2025 and a second will participate from 2022 through 2026. Direct Contracting Model this model will test whether population based payment arrangements encourage better care and align financial incentives to reduce unnecessary use of high-cost settings and services in Medicare Fee-forService. The model offers two voluntary options that give participating organizations an opportunity to take on financial risk and earn rewards. The Global and Professional model options will be tested from January 1, 2021, through December 31, 2025. Centers for Medicare & Medicaid Services 132 Artificial Intelligence Health Outcomes Challenge this initiative is an opportunity for innovators to develop artificial intelligence solutions to predict unplanned hospital and skilled nursing facility admissions and adverse events. The launch phase of the challenge, received more than 300 submissions and ran between March 27, 2019, and June 19, 2019. Medicare Appeals the Budget includes $78 million to process approximately 273,000 second level appeals in a timely manner. It also provides resources to meet increased workload while simultaneously supporting efforts to decrease the number of new appeals entering the system. Information Technology Systems and Support the Budget includes $450 million for information technology systems, including cybersecurity, allowing the agency to protect the valuable consumer health data of millions of Americans from outside threats. Exchanges the Budget expands the use of Exchange user fees to cover all federal administrative expenses associated with operating the Exchanges. Covering federal administrative expenses with user fees makes the Exchanges more financially self-sustaining. Quality Payment Program the Budget includes $40 million to implement the Quality Payment Program, which incentivizes clinicians to furnish high quality care, increase patient safety, promote patient outcomes, and improve coordination of care. Survey volume and cost have increased due to the growing number of participating facilities, higher levels of complaints, and increasing costs to conduct surveys. Approximately 90 percent of the request for Survey & Certification will go directly to State Survey Agencies to perform health and safety oversight of Medicare certified providers. All facilities participating in the Medicare and Medicaid programs must undergo inspection when entering the program and on a regular basis thereafter. This includes survey and certification improvements such as enhanced oversight of the State Survey Agencies that perform nursing home surveys, timely response to patient quality complaints, greater Centers for Medicare & Medicaid Services 136 transparency about nursing home performance, and development of outcomes-based quality measures. The Budget requests two year budget authority for the Survey and Certification program.

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