CMS Seeking Input on Innovations for Children in Medicaid

Thanks for asking, Heidi.  We've been wrestling with how to respond, too!  It's a bit more involved than a sign-on or an email.  The 22 questions can definitely be answered in ways that present CenteringParenting as an option and also encourage enhanced payment for CenteringParenting visits.  Here is an example of the kind of feedback they are looking for:


How could health care providers be encouraged to provide collaborative services with health related

social service providers for a designated pediatric population’s health and social needs?


a. What payment models, such as shared savings arrangements, should CMS consider? Please

be specific about the methodology for attribution and determining whether different

providers have achieved savings. Please also comment on risk, upside (potential savings)

and/or downside (potential costs), including appropriate “ramp-up” periods relative to the

payment models.


b. What specific approaches to attribution and risk-adjustment should be considered in a care

delivery model encompassing all children and youth in a population in order to support

addressing the needs of high-risk, high-need individuals and avoid adverse selection

pressures?


c. Please be specific and explain the relative advantages and disadvantages of any such

payment arrangements. We are particularly seeking comments on whether methodologies

should be changed to account for smaller provider entities or rural providers who may have

coverage responsibility for a small percentage of the providers’ patients.


d. Are different payment models appropriate for different potential health care and health related

social service providers? Please be specific about which payment approaches would

be appropriate for specific patient populations and service providers.