Capitol Correspondence - 07.15.19

CMS Proponent of Value-Based Payments Moves to Finance Agency

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ANCOR is sharing this article by Politico Pro because Adam Boehler’s leadership led to key discussions around transitioning Medicare and Medicaid away from fee-for-service models towards value-based payments. Most disability supports in the United States are funded by Medicaid and rely primarily on a fee-for-service model. Boehler led the Center for Medicare and Medicaid Innovation (CMMI), which is housed within the Centers for Medicare and Medicaid Services (CMS).

As written by Politico Pro:

“Adam Boehler is stepping down as the leader of the CMS innovation center, where he’s helped drive the Trump administration’s strategy to shift how health care providers get paid, according to three individuals with knowledge of the move.

President Donald Trump will soon tap Boehler to lead the Overseas Private Investment Corporation, the federal government’s agency for driving private investment in developing economies, said two individuals. [ANCOR note: Modern Healthcare confirmed the appointment in a later article.]

Boehler has led the innovation center since April 2018 and also served as HHS Secretary Alex Azar’s senior adviser for health care innovation. Under Boehler, the Obamacare-created innovation center has aggressively rolled out new payment models this year — including a plan Trump will announce Wednesday to encourage more at-home dialysis for kidney disease.

Boehler, a Silicon Valley veteran who tried to speed the development of new payment reforms, sometimes clashed with the federal government’s more deliberative process, innovation center staff told POLITICO earlier this year.”