Richard Gilfillan

Acting Director Center for Medicare and Medicaid Innovation

Funded with $10 billion from the ACA, the CMMI’s role is to develop and implement innovative programs to improve and update the nation’s health care delivery systems. That means (we think!) figuring out how to pay in a new way for more innovative care models. And the law says CMS can implement successful models system-wide without going back to Congress for approval. Not surprisingly, CMS went looking for someone with experience, and hooked Rick who from the renowned Geisinger Health System. Rick was behind the program that bundled payments for and guaranteed high-quality outcomes. Prior to Geisinger, Rick ran medical management programs at Coventry and Independence Blue Cross. While he’s here to talk about how CMMI is going to reinvent the care process, we promise not to tease him about whether the primary care crisis was caused by family practitioners like him all quitting to go do MBAs at Wharton. (Jean-Luc on the Health 2.0 team followed Rick on that path!).