CMMI Rolls Out Seven New Payment Models with Potential Medicaid Integration Points

CMS Innovation Center has launched seven new alternative payment models focused primarily on Medicare beneficiaries, with three chronic care management models (ACCESS, MAHA-ELEVATE, and LEAD) explicitly offering opportunities for multi-payer integration including Medicaid. Four additional models target drug pricing with one (GENEROUS) specifically aimed at Medicaid, while the existing Integrated Behavioral Health model may expand to additional states. The models align with the administration's prevention-focused MAHA agenda but lack critical implementation details including payment structures.

Managed Care · Pharmacy

This is outside commentary from Manatt Health, not part of Medicaid Monitor's independently scored news coverage.

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