Delivery reform: Council on Medical Service reports

These Council reports advocate policies on emerging delivery systems that protect and foster the patient/physician relationship. Key Council reports on this topic have addressed patient-centered medical homes, precision medicine, APMs, telemedicine, and retail and store-based health clinics.

2024

• Review of Payment Options for Traditional Healing Services (PDF) CMS Report 3-A-24
• Health System Consolidation (PDF) CMS Report 4-A-24
• Patient Medical Debt (PDF) CMS Report 5-A-24
• Economics of Prescription Medication Prior Authorization (PDF) CMS Report 6-A-24
• Ensuring Privacy in Retail Health Care Settings (PDF) CMS Report 7-A-24

• Monitoring of Alternative Payment Models within Traditional Medicare (PDF) CMS Report 1-I-23
• Bundled Payments and Medically Necessary Care (PDF) CMS Report 04-A-23
• Prescription Drug Dispensing Policies (PDF) CMS Report 05-A-23
• Impact of Integration and Consolidation on Patients and Physicians (PDF) CMS Report 08-A-23. Read the issue brief for this report: Hospital consolidation (PDF).
• Federally Qualified Heath Centers and Rural Health (PDF) CMS Report 09-A-23

• Corporate Practice of Medicine (PDF) CMS report 02-I-22
• Health System Consolidation (PDF) CMS report 03-I-22
• Prospective Payment Model Best Practices for Independent Private Practice (Resolution 122-J-21) (PDF) CMS Report 02-A-22

• Reducing Inequities and Improving Access to Insurance for Maternal Health Care (PDF) CMS-CSAPH joint report N-21
• End-of-Life Care (PDF) CMS Report 1-N-21
• Access to Health Plan Information regarding Lower-Cost Prescription Options (PDF) CMS Report 2-N-21
• Financing of Home and Community-Based Services (PDF) CMS Report 4-N-21
• Promoting Accountability in Prior Authorization (PDF) CMS Report 04-JUN-21
• UCCs (PDF) CMS Report 06-JUN-21
• Rural Hospitals (PDF) CMS Report 09-JUN-21. Read the issue brief for this report: Rural Hospitals (PDF).

• Corporate Investors (PDF) CMS Report 11-A-19. Read the issue brief for this report: Corporate Investors (PDF).
• Alternative Payment Models and Vulnerable Populations (PDF) CMS Report 10-A-19
• Hospital Consolidation (PDF) CMS Report 7-A-19. Read the issue brief for this report: Hospital Consolidation (PDF).

• Aligning Clinical and Financial Incentives for High-value Care (PDF) CMS/CSAPH joint report I-18. Read the issue briefs for this report: Promoting Access to High-Value Care (PDF) and Value-Based Insurance Design (PDF). 
• The Site-of-service Differential (PDF) CMS report 4-I-18. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF). 
• Sustain Patient-centered Medical Home Practices (PDF) CMS report 3-I-18
• Integrating Precision Medicine into Alternative Payment Models (PDF) CMS report 6-A-18

• Survey of Addiction Treatment Centers' Availability (PDF) CMS report 4-A-17
• Hospital Consolidation (PDF) CMS report 5-A-17
• Expansion of U.S. Veterans’ Health Care Choices (PDF) CMS report 6-A-17
• Retail Health Clinics (PDF) CMS report 7-A-17
   

• Affordable Care Act Medicaid Expansion (PDF) CMS report 2-A-16. Read the issue brief for this report: Taking steps forward to cover the uninsured (PDF). 
• Physician Communication and Care Coordination During Patient Hospitalizations (PDF) CMS report 6-A-16. Read the issue brief for this report: Improving Physician Communication During Patient Hospitalizations (PDF). 
• Prior Authorization Simplification and Standardization (PDF) CMS report 7-A-16
• Physician-focused Alternative Payment Models (PDF) CMS report 9-A-16. Read the issue briefs for the report: Physician-Focused APMs (PDF) and Reducing Barriers to PFPMs (PDF).
• Health Care While Incarcerated (PDF) CMS report 2-I-16
• Concurrent Hospice and Curative Care (PDF) CMS report 4-I-16. Read the issue brief for this report: Hospice and Palliative Care (PDF). 
• Hospital Discharge Communications (PDF) CMS report 7-I-16. Read the issue brief for this report: Improving Physician Communication During Patient Hospitalizations (PDF). 

• Integrating Physical and Behavioral Health Care (PDF) CMS report 6-A-15
• Physician Access to Accountable Care Organization Participation (PDF) CMS report 7-A-15
• Update on Payment Mechanisms for Physician-led Team-based Health Care (PDF) CMS report 1-I-15 
• Physician Employment Trends and Principles (PDF) CMS report 5-I-15

• Medicare Update Formulas Across Outpatient Sites of Service (PDF) CMS report 3-A-14. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF). 
• Development of Models/guidelines for Medical Health Care Teams (PDF) CMS report 6-A-14
• Coverage of and Payment for Telemedicine (PDF) CMS report 7-A-14
• Clinical Data Registries (PDF) CMS report 8-A-14

• Payment Variations Across Outpatient Sites of Service (PDF) CMS report 3-A-13. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF).  
• Delivery of Care and Financing Reform for Medicare and Medicaid Dually Eligible Beneficiaries (PDF) CMS report 5-A-13
• Payment Mechanisms for Physician-led Team-based Health Care (PDF) CMS report 1-I-13
• Monitoring the Affordable Care Act (PDF) CMS report 5-I-13

• The Structure and Function of Interprofessional Health Care Teams (PDF) CME-CMS Joint report, I-12

• Denial of Payment Cased on Volume of Procedures Performed (PDF) CMS report 6-A-11

Access all council reports prior to 2007 or learn more about the Council on Medical Service.