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nancial measures. The goal is to help guide
participant decision making at the beginning of
the model, rather than providing this information
later in the performance period. These tools
are key to giving providers access to more user-
friendly information that also reduces their
administrative burden of participation. Finally,
the CMS Innovation Center will continue to work
across CMS and HHS to support adoption and
implementation of interoperability standards
that allow for the exchange of health data that
will enhance care delivery, support patient
engagement, and improve research on and
evaluation of models.
Next Steps to Provide Tools to Drive Care
Innovations
• Deepen and sustain outreach and solicitation
of input from beneciary and caregiver groups,
and providers on gaps in care and their impact,
preferences for home- and community-based
treatment choices, and supports to facilitate
provider-patient communication.
• Develop and test models or care delivery
innovations across models that address gaps
in care, such as behavioral health, SDoH, and
palliative care.
• Test payment waivers and regulatory
exibilities as participants move to total cost
of care models that can support home- and
community-based care that meets patient and
caregiver needs and preferences.
• Support providers in the delivery of person-
centered care through actionable, practice-
specic data, technology, dissemination of
best practices, and peer-to-peer learning
collaboratives to make more timely, actionable
data available to model participants in order
to both facilitate care that is responsive to
changing patient needs and that reduces
administrative burden.
• Accelerate sharing of best practices and tools
across participants to facilitate successful
model implementation and participation.
order to furnish care in new settings that are more
person-centric, such as home or community centers.
Moving forward, payment and regulatory exibilities
for model participants will be examined that can
support the provision of home or community-based
care, especially in models that are moving towards or
that encompass total cost of care. Last, it will be critical
to coordinate within CMS to identify opportunities for
program alignment and to share learnings.
Sharing Actionable Practice-Specific Data
Access to more actionable, close to real-time
data are needed to support providers in value-
based care arrangements. The CMS Innovation
Center is committed to making practice-specic
data on performance available and is considering
options for a more interactive value-based care
management system. As part of the PCF Model,
the Innovation Center is currently piloting a
tool that would provide model participants with
an interactive platform to assist in managing
patient-care. Such platforms are intended to
help providers better understand and forecast
their performance through interactive data
visualizations and dashboards that highlight
factors driving quality performance and can be
important tools to help facilitate person-centered
care at the practice level.
These eorts will also aim to simplify CMS
Innovation Center operations by helping to
automate beneciary attribution, risk adjustment,
and model payment calculations and tracking
quality measure performance. In addition,
CMS is exploring eorts to accelerate data
sharing, including the use of Fast Healthcare
Interoperability Resources-based (FHIR)
application program interfaces (APIs) such as the
Beneficiary Claims Data (BCD) API for sharing
claims data with participants. This BCD API option
is currently offered in the Global and Professional
Direct Contracting Model, a Medicare payment
model, with other models to follow. Further,
the Innovation Center is continuing to build
and share actionable dashboards such as in the
CHART Model in which participants will receive
a dashboard of their community’s baseline
performance on access to care, quality, and other
INNOVATION CENTER STRATEGY REFRESH