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Prevention, Population Health and the Center for Medicare and Medicaid Innovation

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Established by the Affordable Care Act, the Center for Medicare and Medicaid Innovation (CMMI) is a "new engine for revitalizing and sustaining Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) and ultimately for improving the health care system for all Americans. The Innovation Center has the resources and flexibility to rapidly test innovative care and payment models and encourage widespread adoption of practices that deliver better health care at lower cost." One of three elements of the Center is the population health models group. The potential to start moving the healthcare system toward community prevention and equity as core elements fo their efforts through this mechanism is significant.

  • Opportunities for Advancing Community Prevention in the State Innovation Models Initiative
    Prevention Institute produced this memo when the original SIM FOA was released, which describes the opportunity to incorporate a strong prevention focus into the development and implementation of these design and testing models.
  • The Intersection of Health Services and Community Environments: 8 Profiles of State-Driven Initiatives to Advance Population Health
    These eight profiles demonstrate how states are moving beyond silos to partner within and outside of state governments to support innovative initiatives that advance population health. These profiles were prepared in response to the Center for Medicare and Medicaid Innovation's interest in the important role of states in facilitating collaborations and comprehensive efforts that improve community environments. The initiatives highlighted represent a variety of states and diverse health issues and risk factors, and feature efforts where significant improvements in health are foreseeable.
  • How Can We Pay for a Healthy Population? Innovative New Ways to Redirect Funds to Community Prevention
    How can we start paying for things that make people healthier, instead of just treating them when they get sick? The Affordable Care Act has helped catalyze an explosion of ideas about how to expand access to healthcare and control costs. We know that community prevention -- changing the social and physical environments of communities to keep people healthy in the first place -- can go a long way in doing that. In this report, we identify new cutting-edge ways to pay for these efforts.
  • Community-Centered Health Homes: Bridging the Gap Between Health Services and Community Prevention
    The passage of Affordable Care Act has brought about an important time of innovation in the health system. One key opportunity is to integrate clinical service delivery with community prevention in order to reduce demand for resources and services; improve health, safety, and equity outcomes; and provide medical providers with skills and strategies to change the social circumstances that shape the health of their patients. Prevention Institute outlines an approach that community health centers can take to promote community health even as they deliver high-quality medical services to individuals.