Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model
Program Funding
Annual program obligations reported to SAM.gov.
Program Objective
The Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model (referred to as “AHEAD” or the “AHEAD Model”), is a voluntary, state-based alternative payment and service delivery model. It focuses on preventative care, empowering patients, protecting taxpayers, and increasing choice and competition.
The AHEAD Model will test a flexible framework that includes statewide or sub-state accountability targets for:
• All-payers and Medicare fee-for-service cost growth.
• Primary care investment.
• Population health outcomes.
Eligibility
Eligible Applicants
- State
Application to the NOFO will be open to all 50 US states, Washington, DC, and Puerto Rico
How to Apply
Award Procedure
All qualified applications will be forwarded to an objective review committee. The results of the objective review of the applications by qualified experts will be used to advise the CMS approving official. In making these decisions, the CMS approving official will take into consideration: recommendations of the review panel; the readiness of the applicant to conduct the work required; the scope of overall projected impact on the aims; reviews for programmatic and grants management compliance; the reasonableness of the estimated cost to the government and anticipated results; and the likelihood that the proposed project will result in the benefits expected. Notification is made in writing by a Notice of Award (NoA).
Application review period will take approximately 90 days
Program details & compliance
Description
The AHEAD Model is designed to address unsustainable growth of healthcare costs and suboptimal population health outcomes. The model relies on a state-led, multi-payer strategy to increase investments in primary care and prevention, and to improve care coordination across the delivery system.
Mission Categories
Primary: General Health and Medical
Use of Funds
Allowed Uses
Cooperative Agreement funding will support the following activities:
• Develop Health equity plan, and select state quality measures
• Form state governance structure
• Engage commercial payers, recruit hospitals
• Establish All-Payer and Medicare TCOC growth targets and primary care investment targets
• Identify eligible primary care providers for Primary Care AHEAD
• Onboard to necessary CMS systems
• Attend required learning events
Reporting & Compliance
Applicable 2 CFR 200 Subparts
- Subpart B — General Provisions
- Subpart C — Pre-Federal Award Requirements
- Subpart D — Post-Federal Award Requirements
- Subpart E — Cost Principles
- Subpart F — Audit Requirements