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CMS considers new payment model for Alzheimer’s and other behavioral conditions, seeks public input

The Centers for Medicare & Medicaid Services (CMS) published a notice of meeting to be held on September 8, 2017 from 10:00am to 5pm, ET to discuss ideas for a potential behavioral health payment model for beneficiaries with cognitive impairments such as Alzheimer’s disease and dementia. The meeting is open to the public but space is limited to availability.

The potential payment or service delivery model will be designed by the Centers’ Innovation Center and aims to improve health care quality and access, while lowering the cost of care for Medicare and Medicaid beneficiaries with behavioral health conditions.

The model may include participation by other payers, qualify as an Advanced Alternative Payment Model (APM), improve health care provider participation in telehealth services, and address the needs of beneficiaries with deficits in care in the following potential areas leading to poor clinical outcomes or potentially avoidable expenditures:

  • Substance use disorders
  • Mental disorders in the presence of co-occuring conditions
  • Alzheimer’s disease and related dementias
  • Behavioral health workforce challenges

The Innovation Center solicits and selects organizations to participate in voluntary model tests through open, competitive processes. The meeting will include four panel sessions of behavioral health experts of varied backgrounds who will discuss substance use disorders, mental health in the presence of co-occuring conditions, Alzheimer’s disease and related dementias, and behavioral health workforce development. Participants must register at no later than 12 a.m. EST on August 25, 2017 to attend the meeting.