Although it has been 30 years since the Commission urged the adoption of shared decision making, beneficiary preferences and values about medical treatment choices are still routinely left out of important discussions between practitioner and beneficiary. The shared decision making process is a collaboration between the beneficiary and the practitioner.Ī Presidential Commission in 1982 first coined the term “shared decision making,” urging adoption of the process to improve physician-patient communication and informed consent in health care. The Shared Decision Making Model (SDM Model) will test a specific approach to integrate a structured Four Step shared decision making process into the clinical practice of practitioners who are participating Accountable Care Organizations (ACOs).
The Center for Medicare and Medicaid Innovation is testing the BEI Models under the authority of Section 1115A of the Social Security Act (as added by Section 3021 of the Affordable Care Act). , The Beneficiary Engagement and Incentives (BEI) Models - the Shared Decision Making Model and the Direct Decision Support Model - will test different approaches to shared decision making, acknowledging that beneficiaries make decisions regarding treatment options in a variety of ways. Specifically, the “CMS Quality Strategy envisions health and care that is person-centered, provides incentives for the right outcomes, is sustainable, emphasizes coordinated care and shared decision making, and relies on transparency of quality and cost information.” īeneficiary engagement broadly refers to the actions and choices of individuals with regard to their health and health care, and these decisions impact cost, quality, and patient satisfaction outcomes. The Centers for Medicare & Medicaid Services (CMS) identifies strengthening beneficiary engagement as one of the agency’s goals to help transform our health care system into one that delivers better care, smarter spending, healthier people, and puts individuals at the center. Beneficiary Engagement and Incentives Models: Shared Decision Making Model
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