Abstract
The Center for Medicare and Medicaid Innovation (CMMI) was created by the Affordable Care Act to test new payment and delivery models that would lower spending while maintaining or improving patient care.1 As enacted, the Affordable Care Act appropriated $10 billion for the CMMI for 2011 through 2019 and authorized another $10 billion for the following 10 years through 2029. Over the last decade, Centers for Medicare & Medicaid Services (CMS) has used CMMI to administer several demonstrations, including the Medicare Shared Savings Program for Accountable Care Organizations (ACOs) and the follow-on Pioneer ACO program.
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