CMS Proposed Mandatory Rule: Increasing Organ Transplant Access Model (IOTA)

[Clark]

Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model

A Proposed Rule by the Centers for Medicare & Medicaid Services on 05/17/2024

This document has a comment period that ends in 44 days. (07/16/2024)

SUMMARY:
This proposed rule describes a new mandatory Medicare payment model, the Increasing Organ Transplant Access Model (IOTA Model), that would test whether performance-based incentive payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures. This proposed rule also includes standard provisions that would apply to Innovation Center models whose first performance period begins on or after January 1, 2025, and also would apply, in whole or part, to any Innovation Center model whose first performance period begins prior to January 1, 2025 should such model's governing documentation incorporate the provisions by reference in whole or in part. The proposed standard provisions relate to beneficiary protections; cooperation in model evaluation and monitoring; audits and records retention; rights in data and intellectual property; monitoring and compliance; remedial action; model termination by CMS; limitations on review; miscellaneous provisions on bankruptcy and other notifications; and the reconsideration review process.

https://www.federalregister.gov/documents/2024/05/17/2024-09989/medicare-program-alternative-payment-model-updates-and-the-increasing-organ-transplant-access-iota


CMS: IOTA
https://www.cms.gov/priorities/innovation/innovation-models/iota


CMS: Overview Fact Sheet (PDF)
https://www.cms.gov/files/document/iota-model-fs.pdf