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States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model) is sponsored by Centers for Medicare & Medicaid Services (CMS). A voluntary, state-based alternative payment and service delivery model designed to curb healthcare cost growth, improve population health, and advance health equity by reducing disparities in health outcomes.
The model tests a flexible framework that includes statewide or sub-state accountability targets for all-payer and Medicare fee-for-service cost growth, primary care investment, and equity and population health outcomes.
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HEALTH AND HUMAN SERVICES, DEPARTMENT OF The Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model (referred to as “AHEAD” or the “AHEAD Model”), is a voluntary, state-based alternative payment and service delivery model. It focuses on preventative care, empowering patients, protecting taxpayers, and increasing choice and competition.
The AHEAD Model will test a flexible framework that includes statewide or sub-state accountability targets for: • All-payers and Medicare fee-for-service cost growth. • Primary care investment. • Population health outcomes.
The AHEAD Model is designed to address unsustainable growth of healthcare costs and suboptimal population health outcomes. The model relies on a state-led, multi-payer strategy to increase investments in primary care and prevention, and to improve care coordination across the delivery system.
HEALTH - LI General Health and Medical Social Security Act, section 1115A Section 1115A of the Social Security Act (the Act) establishes CMMI to test innovative health care payment and service delivery models that have the potential to lower Medicare, Medicaid, and CHIP spending while maintaining or improving the quality of beneficiaries’ care. _These funding amounts do not reflect the award amounts that are displayed on USASpending.
gov_ **This listing is funded for the current fiscal year. ** F002 - Cooperative Agreement No Credentials or Documentation are required. 2 CFR 200, Subpart E - Cost Principles applies to this program.
Application to the NOFO will be open to all 50 US states, Washington, DC, and Puerto Rico Beneficiary eligibility is the same as applicant eligibility.
All Medicare FFS beneficiaries in the state or region that meet eligibility criteria (e.g., residents in the state for a minimum defined period of time) will be included in the all-payer and Medicare FFS TCOC growth and Primary Care Investment Targets, and statewide population health and quality measures and targets.
Beneficiaries are eligible to be aligned to a hospital or primary care provider if during the alignment look back period the beneficiary lived in the participating state and were covered by both Part A and Part B of Medicare.
Cooperative Agreement funding will support the following activities: • Develop Health equity plan, and select state quality measures • Form state governance structure • Engage commercial payers, recruit hospitals • Establish All-Payer and Medicare TCOC growth targets and primary care investment targets • Identify eligible primary care providers for Primary Care AHEAD • Onboard to necessary CMS systems • Attend required learning events Contact the headquarters or regional location, as appropriate for application deadlines Application deadline will be 60 calendar days after the NOFO is published on grants.
gov Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.
O. 12372. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program.
All qualified applications will be forwarded to an objective review committee. The results of the objective review of the applications by qualified experts will be used to advise the CMS approving official.
In making these decisions, the CMS approving official will take into consideration: recommendations of the review panel; the readiness of the applicant to conduct the work required; the scope of overall projected impact on the aims; reviews for programmatic and grants management compliance; the reasonableness of the estimated cost to the government and anticipated results; and the likelihood that the proposed project will result in the benefits expected.
Notification is made in writing by a Notice of Award (NoA).
Application review period will take approximately 90 days The following 2CFR policy requirements apply to this assistance listing: Subpart B, General provisions Subpart C, Pre-Federal Award Requirements and Contents of Federal Awards Subpart D, Post Federal; Award Requirements Subpart E, Cost Principles Subpart F, Audit Requirements The following 2CFR policy requirements are excluded from coverage under this assistance listing: **Progress/Performance Reports :**Frequency and content of progress reports to be determined, Frequency: Determined at Time of Award Recipients are required to maintain grant accounting records 3 years after the date they submit the final Federal Financial Report.
If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. Retention Period: 3 Years Statutory formula is not applicable to this assistance listing.
Matching requirements are not applicable to this assistance listing. This program has MOE requirements, see funding agency for further details.
Additional Information: N/A Domestic Assistance Program that uses Core-Based Statistical Area (CBSA): Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model **To:**Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model **From:**States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model **To:**States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model **From:**Funding in Support of the Pennsylvania Rural Health Model Funding in Support of the Pennsylvania Rural Health Model Funding in Support of the Pennsylvania Rural Health Model Funding in Support of the Pennsylvania Rural Health Model Funding in Support of the Pennsylvania Rural Health Model Funding in Support of the Pennsylvania Rural Health Model Funding in Support of the Pennsylvania Rural Health Model Funding in Support of the Pennsylvania Rural Health Model
Based on current listing details, eligibility includes: State Medicaid agencies, state public health agencies, and other state agencies with the authority and capacity to accept the Cooperative Agreement award funding. All 50 states, Washington, D.C., and U.S. territories with at least 10,000 resident Medicare FFS beneficiaries. Applicants should confirm final requirements in the official notice before submission.
Current published award information indicates Funding amounts vary based on project scope and sponsor guidance. Always verify allowable costs, matching requirements, and funding caps directly in the sponsor documentation.
The current target date is December 12, 2024. Build your timeline backwards from this date to cover registrations, approvals, attachments, and final submission checks.
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Requirements vary by sponsor, but typically include a project narrative, budget justification, organizational capability statement, and key personnel CVs. Check the official notice for the complete list of required attachments.
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MAHA ELEVATE (Make America Healthy Again: Enhancing Lifestyle and Evaluating Value-based Approaches Through Evidence) Model is sponsored by Centers for Medicare & Medicaid Services (CMS). This model evaluates evidence-based, whole-person care approaches not currently covered by Original Medicare, including functional or lifestyle medicine interventions with a nutrition or physical activity component, to promote health and prevention for Original Medicare beneficiaries. These funds can cover administrative costs, data collection, and infrastructure.
Make America Healthy Again – Enhancing Lifestyle and Evaluating Value-based Approaches Through Evidence (MAHA ELEVATE) Model is sponsored by Centers for Medicare & Medicaid Services (CMS). A three-year service delivery model testing evidence-based, whole-person functional or lifestyle medicine approaches to care, combining psychological, nutritional, and physical interventions with personalized, lifestyle-based strategies for prevention and early treatment.
Make America Healthy Again – Enhancing Lifestyle and Evaluating Value-based Approaches Through Evidence is sponsored by Centers for Medicare & Medicaid Services (CMS). A three-year service delivery model testing evidence-based, whole-person functional or lifestyle medicine approaches to care, combining psychological, nutritional, and physical interventions with personalized, lifestyle-based strategies for prevention and early treatment.