Which entity develops new payment and service delivery models in accordance with section 1115A of the Social Security Act?

Which entity develops new payment and service delivery models in accordance with section 1115A of the Social Security Act?

• A. Center for Medicare and Medicaid Innovation (CMS)
• B. The Community Based Care Transition Program (CCTP)
• C. The Consumer Assistance Program
• D. Accountable Care Organizations (ACOs)

Answer: (A)

The fundamental idea is that the Center for Medicare and Medicaid Innovation within CMS is the entity authorized by Section 1115A to design and test new payment and service delivery models. This Innovation Center was created by the Affordable Care Act specifically to develop innovative approaches to how care is paid for and delivered, then pilot them, evaluate their impact on quality and cost, and decide whether successful models should be expanded. The other options refer to a specific program, a consumer assistance effort, or to organizations that participate in models rather than the body responsible for creating them, so they don’t fit as the development entity.

The fundamental idea is that the Center for Medicare and Medicaid Innovation within CMS is the entity authorized by Section 1115A to design and test new payment and service delivery models. This Innovation Center was created by the Affordable Care Act specifically to develop innovative approaches to how care is paid for and delivered, then pilot them, evaluate their impact on quality and cost, and decide whether successful models should be expanded. The other options refer to a specific program, a consumer assistance effort, or to organizations that participate in models rather than the body responsible for creating them, so they don’t fit as the development entity.