Year 3 evaluation for CPC+ demonstrates again that pinky swear models (my term) just do not move the needle. Handing out a fixed amount of money in return for the promise to do xyz always underwhelms. Alignment on outcomes works much better. https://innovation.cms.gov/data-and-reports/2021/cpc-plus-third-anual-eval-report?utm_source=newsletter&utm_medium=email&utm_campaign=this_week_in_physician_led_care_january_20_edition&utm_term=2021-01-20 1/

Track 2 practices decreased hospitalizations by 1.7%. Track 1 not statistically significant. Our @AledadeACO Louisiana ACO includes many CPC+ practices. By the end of its year 3 it was running a 14% reduction in hospitalizations. 2/

The next administration should look to #MSSP as an umbrella under which to @CMSinnovates can test new models. Want to test enhanced primary care capitation? No need to create a new #ACO model just run a primary care cap model that requires enrollment in #MSSP enhanced. 3/

Compare those with the cap to other #MSSP. With over 10 million beneficiaries in #MSSP, plenty of comparative analysis opportunities. Want to test telehealth expansion same opportunity under #MSSP. Want to test benefit enhancements w/o breaking the bank, got a solution for you 4/

Even testing a discount methodology to 100% upside and downside risk versus shared savings could be done as a @CMSinnovates model in #MSSP. It is not 2013 anymore. We are refining the #ACO model not starting with a blank piece of paper. 5/