The Centers for Medicare & Medicaid Services (CMS) Innovation Center (CMMI) will end several alternative payment models aimed at primary care and kidney treatments to focus on those better fulfilling statutory goals of cost reduction and quality enhancement. This decision, expected to save taxpayers nearly $750 million, reflects a strategic pivot rather than a withdrawal of support for primary care. Despite ending models like Making Care Primary and Primary Care First, CMMI remains committed to innovative structures, such as the AHEAD model starting in 2026. Existing commitments, including the Maryland model, will continue.
CMMI is committed to testing innovative payment models that reduce spending while improving quality of care, showcasing a data-driven approach to program reviews.
The early termination of specific primary care payment models shows a focus shift towards approaches aligned with the CMS Innovation Center's goals.
CMMI plans to save taxpayers nearly $750 million through targeted changes, emphasizing the need for efficient healthcare spending without compromising care quality.
The Maryland Total Cost of Care Model will continue, indicating a long-term commitment to alternative payment structures that promote sustainable healthcare financing.
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