States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model
Closed Posted
- Opportunity number
- CMS-4S4-24-001
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Applications due
- Award size
- Up to $12,000,000
Opportunity facts
- Assistance listings
- Funding instrument
- Cooperative Agreement
- Category
-
- Affordable Care Act
- Eligible applicants
-
- State Governments
- Full announcement
Opportunity details come from Grants.gov. Updated .
About this opportunity
The Department of Health and Human Services Centers for Medicare and Medicaid Services is offering up to $96 million in cooperative agreement funding through the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model. This voluntary, state-based innovation model aims to address unsustainable healthcare cost growth, poor population health, and unacceptable disparities in health outcomes. Eligible applicants include state Medicaid agencies, public health agencies, and other state entities that will implement the model at the state or sub-state level. Key components include statewide accountability targets, hospital global budgets, and a primary care program. Applicants must propose plans for measurement, hospital recruitment, global budget methodologies, and primary care practice recruitment. Letters of intent are due February 5, 2024 for Cohorts 1 and 2 and July 26, 2024 for Cohort 3, with full applications due March 18, 2024 and August 12, 2024 respectively.
Up to eight awards may be made, with individual awards not exceeding $12 million over cooperative agreement periods of 5.5 to 6 years depending on the selected cohort. The model will operate for 11 years, with the Center for Medicare and Medicaid Innovation evaluating its impact on healthcare spending, utilization, quality, and health equity.
Synopsis
This Notice of Funding Opportunity (NOFO) is announcing the opportunity to apply to participate in the States Advancing All-Payer Health Equity Approaches and Development Model (referred to as "AHEAD" or the "AHEAD Model"), including availability of Cooperative Agreement funding of up to $12 million per award recipient. State Medicaid agencies, state public health agencies, and other state agencies may apply to participate in AHEAD on behalf of their states.
The AHEAD Model is a voluntary, state-based alternative payment and service delivery model designed to curb health care cost growth, improve population health, and advance health equity by reducing disparities in health outcomes. The AHEAD Model will test 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. The Model will include specific components to help each award recipient to achieve these goals, including an initial investment via the Cooperative Agreement award to support planning and implementation activities, Medicare fee-for-service and Medicaid hospital global budgets for participating hospitals, and a primary care program for participating primary care practices.
The AHEAD Model will operate for 11 years (2024-2034). Applicants must select one of three Cohorts to participate in based on their stage of readiness to implement the Model. CMS will select, via a competitive process, up to eight award recipients. Up to $12 million in Cooperative Agreement award funding will be available to each selected award recipient over the course of up to six years. The Model will conclude for all Cohorts on December 31, 2034.
Files
| File | Type | Posted |
|---|---|---|
| AHEAD NOFO Final 11.15.2023 508.pdf |
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