Analysis of CMMI Model Costs and Quality Performance

This document is a technical report that analyzes the costs, quality performance, and transparency of the Center for Medicare and Medicaid Innovation (CMMI) models. The report, commissioned by the Healthcare Leadership Council and conducted by Avalere Health, evaluates 18 CMMI models based on their impacts on federal expenditures, quality of care, and transparency during model design and implementation. The analysis reveals that CMMI models, in aggregate, are not generating direct savings to Medicare, although some models have shown potential for reducing costs in the future. The report details the performance of these models in terms of quality improvements, noting that while some models have achieved substantial net savings, others have resulted in financial losses or nominal impacts. Additionally, the report discusses the limited opportunities for public input during model design and the mixed results in publicly available data on financial and quality metrics. The findings suggest that CMMI's evolving priorities and model designs may influence future healthcare delivery and payment systems.