New CMS Models Look to Increase Patient Engagement

On December 8th, the Center for Medicare and Medicaid Services (CMS) announced two new models from the CMS Innovation Center that will increase patient engagement in care decisions by putting more information in the hands of Medicare beneficiaries. These two Beneficiary Engagement and Incentives (BEI) Models are the Shared Decision Making Model (SDM Model) and the Direct Decision Support Model (DDS Model).

The BEI models will test different approaches to shared decision making, with the understanding that beneficiaries make decisions regarding treatment options in a variety of ways, and thus facilitating a better understanding of their health and health care decisions is key towards improved beneficiary engagement. 

The SDM Model will test the integration of a specific, structured Four Step process to shared decision making into routine clinical practice workflows of practitioners participating in Accountable Care Organizations (ACOs), resulting in informed and engaged beneficiaries who collaborate with their practitioners to make medical decisions that align with their values and preferences. 

The DDS Model will test an approach to shared decision making provided outside of the doctor’s office, by Decision Support Organizations that provide health management and decision support services.  As an example, beneficiaries will be contacted by these organizations and provided access to a website or electronic application that provides them with unbiased and evidence-based information on their condition and/or treatment options.

Decision Support Organizations that are interested in participating in the DDS Model, and ACOs that are currently in the Medicare Shared Savings Program or Next Generation ACO Model and are interested in participating in the SDM Model must submit an electronic, non-binding Letter of Intent (LOI) for consideration for participation in the DDS and SDM Models, the first step of the application process. The LOI submission period begins on December 8, 2016 and closes on March 5, 2017.

More information is available on the BEI Models website.