States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model

The States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model is a voluntary, state-based innovation model designed to address unsustainable health care cost growth, poor population health, and unacceptable disparities in health outcomes. The AHEAD Model tests a flexible framework that includes statewide or sub-state accountability targets (for all-payer and Medicare fee-for-service (FFS) growth, primary care investment, and equity and population health outcomes), and specific Model components to help achieve these goals. The AHEAD Model will operate for 11 years. This Notice of Funding Opportunity (NOFO) provides cooperative agreement funding to successful applicants, for up to 6 years, to support participation in this Model. A maximum of $12 million per applicant may be awarded. Applicants may apply for funding through either Cohort 1, Cohort, 2, or Cohort 3. Though Cohorts 1 and 2 share the same deadline date to apply, all three Cohorts have different pre-implementation and performance years. Applicants should apply to the Cohort that best fits their timeline to implement the AHEAD Model. Cooperative Agreement funding may be used for the following specific Model components: · supporting state infrastructure and Model implementation, · hospital global budgets to constrain costs and improve population health, · a primary care program (Primary Care AHEAD) to provide increased investment and support advanced primary care, and · benefit enhancements to expand coverage of post-acute care, behavioral health care, and educational services for purposes of testing this Model. The Center for Medicare and Medicaid Innovation (CMMI) will evaluate the impact of the AHEAD Model on health care spending and utilization, quality of care, and health equity.
Categories: Affordable Care Act.