Scott Strickland

speaker

283 appearances 1 recordings 1 series first heard Jun 2026 last heard 30 Jun

Scott Strickland’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jun 2026 with 1.

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AHLA's Speaking of Health Law · CMMI and the Next Generation of Alternative Payment Models · 30 Jun 2026 podcast

And um almost uh 15 years later, here I am working with a whole bunch of folks around the country on um kind of helping them think through uh strategically and operationally how they're gonna participate in these models and doing so in a compliant fashion.

Yeah, um uh great question.

So um first of all, like I said, the the Innovation Center

Is it's part of CMS.

So it is um it's part of that agency.

But it was newly created um in 2010 as part of the Affordable Care Act.

And so if you go to section, I think 1115A of the Social Security Act, you will see the language establishing the Innovation Center.

And it its purpose, um, the reason it was created is to design, implement, and test new or revised healthcare payment and delivery models that are intended to

lower healthcare spending for the Medicare program, Medicaid or CHIP, while maintaining or improving hopefully the quality of care provided to those patient populations.

So it's essentially like a

you know, a a lab, like a testing lab for CMS, um, where it can quickly spin up and roll out these um models or demonstration programs.

Um and it does not have to go through

uh formal rulemaking in order to do that, um, unless the model is a mandatory model, which we'll talk about a little later.

But they've got all they're very nimble and they've got a lot of flexibility to um to quickly uh roll out these models and then um

over time, if the model um has demonstrated that through its performance, that it does either reduce spending or without harming quality of care or that it improves quality of care without increasing spending, then there's authority built into the statute for the Innovation Center.

To actually roll that out on a larger scale, like nationally, for instance, without having to go back to Congress and getting separate authorization for the program.

So basically, CMMI has the authority to expand the scope and duration of a testing model, and that duration can be indefinite if it's so.

chooses.

So it has a lot of power and also has some ability to waive certain programmatic rules or fraud and abuse rules that otherwise would apply just in general Medicare and Medicaid programs.

So again, a lot of ability to test

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