The ACO Show 193. Breaking down CMMI’s new strategy with Abe Sutton and Farzad Mostashari, M.D.
Jul 28, 2025
Abe Sutton, Director of the Innovation Center at CMS, joins Farzad Mostashari, M.D., CEO of Aledade, to discuss CMMI’s new strategic framework. They dive into the WISeR Model, utilizing AI to streamline prior-authorization requests and avoid unnecessary services. Sutton elaborates on the Ambulatory Specialty Model, which incentivizes specialists for better health outcomes in senior patients. Key topics also include enhancing patient access to health data and promoting competition in healthcare markets, highlighting innovative approaches to value-based care.
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Promote Competition to Aid Independence
- Support independent practices by fostering competition to prevent market monopolies.
- Incentivize providers to deliver better outcomes by enabling multiple negotiation parties and preserving physician independence.
CMMI's Strategic Pillars
- The Innovation Center’s strategy includes three pillars: evidence-based prevention, access to health data, and competition in healthcare markets.
- Aligning incentives with these pillars aims to improve outcomes and empower patients through technology and provider financial models.
Demoing MyMedicare.gov to a Senior
- Farzad recalled trying to demo the MyMedicare.gov app to a congressperson's elderly mother, highlighting usability challenges.
- This story underscores the ongoing need to simplify access to health data for seniors.