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The
Centers for Medicare & Medicaid Services (CMS) is officially announcing a
Request for Applications (RFA) for the Comprehensive ESRD Care (CEC)
Model. Applicants will have the opportunity to apply to join the Model
starting in its second year, on January 1, 2017. The CEC Model is designed to identify, test, and evaluate new ways to improve care for Medicare beneficiaries with End-Stage Renal Disease (ESRD). Through the CEC Model, CMS will partner with health care providers and suppliers to test the effectiveness of a new payment and service delivery model in providing beneficiaries with person-centered, high-quality care. Dialysis providers, nephrologists, and other providers form ESRD Seamless Care Organizations (ESCOs), which are responsible for coordinating care and improving health outcomes for aligned beneficiaries, and are eligible for shared savings when total cost of care is reduced and quality is improved. The CEC Model currently has 13 ESCOs participating in the model, including 12 ESCOs from Large Dialysis Organizations (LDOs) and 1 from a non-Large Dialysis Organization (Non-LDO). |
| Background |
| The CEC Model is authorized under Section 1115A of the Social Security Act (added by section 3021 of the Affordable Care Act), which established the Center for Medicare and Medicaid Innovation (the Innovation Center) to test innovative payment and service delivery models that have the potential to reduce Medicare, Medicaid, and Children's Health Insurance Program expenditures while maintaining or enhancing the quality of beneficiaries' care. |
| Eligible Applicants |
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The CEC
Model seeks a diverse set of ESCOs in order to improve the overall model
test. This is an open solicitation for both LDOs and Non-LDOs. In order to be eligible, ESCOs must include:
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