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November 24, 2015

Learning Systems at Scale: Where Policy Meets Practice

Author Affiliations
  • 1Center for Medicare & Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, Maryland
JAMA. 2015;314(20):2131-2132. doi:10.1001/jama.2015.15079

The Patient Protection and Affordable Care Act mandates that the Centers for Medicare & Medicaid Services (CMS) test new models of health care payment and service delivery and provides a path for expansion if the models reduce cost or hold cost neutral while improving quality of care.1 In developing the initial cycle of models, the Center for Medicare & Medicaid Innovation (CMMI) established a systematic improvement framework to understand change across a mix of health systems and increase the likelihood of successful tests of change in payment policy and delivery of care, referred to here as a Learning System.