The Center for Medicare and Medicaid Services (CMS) announced last month that it is ending four Innovation Center models early: Primary Care First, End-Stage Renal Disease (ESRD) Treatment Choices, Making Care Primary, and Maryland Total Cost of Care. The models will end by December 31, 2025. Additionally, two previously announced but not yet implemented models to reduce drug costs will not be pursued: Medicare $2 Drug List and Accelerating Clinical Evidence.

Most of the models selected for early termination are within two years of their end date for the original performance period, as follows:

Primary Care First (2021 through . . .

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Integrated Care Models

Integrated care models have become a basic premise for service delivery in the health and human service field. Stemming from the focus on comprehensive whole-person health, integrated care models include the complete array of services for a person’s health and well-being—physical health, behavioural health, pharmacy benefits, and social supports. For health and human service provider organizations, there are many possibilities to serve consumers by taking a whole person approach to health care. From care coordination initiatives and addressing the social determinants of health to integrating primary and behavioural health care, payers and health plans are looking for a holistic approach when it comes to managing complex consumer populations.


The New Jersey Department of Health (NJDOH) plans to create a single, integrated license for outpatient health care facilities that will allow the license holders to deliver integrated primary care, mental health, and addiction treatment services, as described in a new proposed rule. NJDOH anticipates that the integrated license will enable delivery of comprehensive, whole-person care, leading to improved health outcomes and a better consumer experience. Currently, provider organizations seeking to provide integrated care, primary… Read