Project Overview

Objective

To support the CMS Innovation Center in achieving its model and programs' aims of reducing costs while improving quality and beneficiary experience.

Project Motivation

The Innovation Center engaged Mathematica in this work because of our 1) understanding of and experience with applying adult learning theory to peer-to-peer learning and 2) ability to and expertise in diffusing best practices to improve patient care.

Partners in Progress

  • Premier, Inc.
  • L&M Policy Research

Prepared For

CMS Innovation Center

The VBC Learning System project offers a variety of virtual learning activities and written products to support participants in the ACO REACH and KCC Models, and the Shared Savings Program, in achieving model goals and delivering value-based care.
From its inception, the Center for Medicare & Medicaid Innovation (Innovation Center) has tested payment and care delivery models and programs that base payment on achieving improved outcomes for efficiency and quality. The intended goal of these models is to shift the health care system away from a fee for-service system that rewards increased volume of services to a system that prioritizes the value of care provided to patients. As part of this charge, the Innovation Center recognizes and disseminates new, service delivery and payment strategies through learning systems to accelerate healthcare improvement and impact patient health outcomes. For this project, Mathematica oversees learning within the following: ACO Realizing Equity, Access, and Community Health (ACO REACH) and Kidney Care Choices (KCC) models as well as among accountable care organizations (ACOs) participating in the Medicare Shared Savings Program.

Our support includes (1) model-specific peer-to-peer learning communities, including webinars, affinity groups, action groups, and virtual learning collaboratives (2) data analyses to guide curriculum development, and (3) resources to support the diffusion and adoption of strategies and tactics to address value based care. Additionally, in collaboration with the Innovation Center, Mathematica identifies insights and strategies suitable for promotion in learning events and written products.

Related Staff

Dana Jean-Baptiste

Dana Jean-Baptiste

Senior Researcher

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Mario Gruszczynski

Mario Gruszczynski

Managing Consultant

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Kelsey Cowen

Kelsey Cowen

Managing Consultant

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