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Care and Payment Innovation

MISSION Act Section 152, 1703E

VIC-CPI portfolio is focused on implementing care and payment innovation authorized by VA MISSION Act, Section 152. 1703E. Passage of the MISSION Act authorized the creation of a center for care and payment innovation focused on achieving cost savings without hurting quality. The Secretary, acting through the Center, may carry out such pilot programs the Secretary determines to be appropriate to develop innovative approaches to testing payment and service delivery models to reduce expenditures while preserving or enhancing the quality of care furnished by the Department. Per statute, the Secretary has directed VA’s Innovation Center (VIC), in the Office of Enterprise Integration (OEI) to establish the Center.

Mission Act Videos

Authorities and Provisions

  • DURATION: Each pilot program carried out by the Secretary under this section shall terminate no later than 5 years after the date of the commencement of the pilot program.
  • BUDGET: Funding for each pilot program carried out by the Secretary under this section shall come from appropriations provided in advance in appropriations acts for the Veterans Health Administration; and provided for information technology systems.
  • LIMITATIONS: The Secretary may not carry out more than 10 pilot programs concurrently and may not expend more than $50,000,000 in any fiscal year. However, the Secretary may expend more than $50,000,000 if — (i) the Secretary determines that the additional expenditure is necessary to carry out pilot programs under this section; (iii) the Chairmen of the Committees on Veterans’ Affairs of the Senate and the House of Representatives transmit to the Secretary a letter approving of the additional expenditure.
  • WAIVERS: In implementing the pilot programs under this section, the Secretary would be authorized to waive such requirements in subchapters I, II and III of chapter 17 of title 38, U.S.C., as may be necessary solely for the purpose of carrying out this section with respect to testing models under this program.
  • EVALUATION: The Secretary would be required to conduct an evaluation of each model tested, to include, at a minimum, an analysis of the quality of and access to care furnished and the changes in spending by reason of that model. The Secretary would be required to make each evaluation available to the public in a timely fashion.
  • EXPANSION: The Secretary would be authorized to expand, through rulemaking, the duration and scope of successful pilot programs to the extent the Secretary determines that such expansion is expected to reduce spending without reducing the quality of or access to care or improve the quality of or access to care without increasing spending; the Secretary would also have to determine that such expansion would not deny or limit the coverage or provision of benefits for applicable individuals.

Objectives and Key Factors

Test payment and service delivery models to determine whether such models improve access to, and quality, timeliness, and patient satisfaction of care and services; and create cost savings for the Department. Service delivery and payment innovation pilot demonstrations will be designed to integrate several key factors and desired outcomes.

Key factors with desired outcomes. Check marks indicate that the expectation is an increase in the desired outcome.
Key Factors Access Quality Timeliness Patient Satisfaction Cost Savings
Geographic Diversity Checked Checked Checked Checked Checked
Deficits in Care Checked Checked Checked Checked Checked
Monitoring and Updating Care Plans Checked Checked Checked Checked Checked
Patient Centeredenss Checked Checked Checked Checked Checked
Technology Enabled Care Coordination Checked Checked Checked Checked Checked
Effective Linkage with other Payers Checked Checked Checked Checked Checked
Demonstration Lifecycle
(5 years minimum)
Checked Checked Checked Checked Checked

Request for Information (RFI)

An RFI is issued for information and planning purposes only and does not constitute a solicitation nor does it restrict the Government as to the ultimate acquisition approach. In accordance with (IAW) Federal Acquisition Regulation (FAR) 15.201(e), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Any contract that might be awarded based on information received or derived from this market research will be the outcome of the competitive process.

The purpose of this RFI is to obtain market information on capable sources of supply, industry practices, and input specific to the information provided. Be advised that acquisition strategy and set-aside decisions may be made based on the information provided in response to this RFI. Responses should be as complete and informative as possible. Generic capability statements will not be accepted or reviewed.

We have been directed to test payment and service delivery models to determine whether such models improve access to, and quality, timeliness, and patient satisfaction of care and services; and create cost savings for the Department. We are in the process of exploring the following service delivery and payment models and would like to solicit designs and ideas of product and service solution interventions.

Additional information can be found on the FedBizOps website .

Content last updated or reviewed on June 20, 2019