AGENCY: Centers for Medicare & Medicaid Services (CMS)

DEADLINE: CMS will accept applications beginning June 14 until August 15, 2013 3pm EDT.

All applicants are required to submit non-binding letters of intent to apply by June 28, 2013 3pm EDT. Failure to submit a Letter of Intent to Apply will disqualify the application form that organization from being reviewed.

AWARD: approximately 100 awards, with a range of approximately $1 million to $30 million per award to cover a three-year performance period, depending on the scope and nature of the individual proposals received. Up to $1 billion allocated in total;

CMS is not obligated to fund a minimum number of applicants, or to distribute a minimum amount of funds.


  • Interested parties of all types who have developed innovations that will drive significant improvement in population health, quality of care and total cost of care are welcome to apply. Eligible applicants include, but not limited to: provider groups, health systems, payers and other private sector organizations, faith-based organizations, states, local governments, public-private partnerships and for-profit organizations.
  • CMS encourages organizations serving rural or underserved areas to apply.
  • CMS encourages applications from organizations that were not awarded previous Health Care Innovation Awards.
  • Organizations that received funding from CMS under Round One of the Health Care Innovation Awards may apply again, but they cannot receive additional funding to support models funded under Round One.
  • Technology developers, including software designers and others creating solutions for health care providers, are welcome to apply for funding to support the actual use, not the development, of a product in a broader service delivery or payment model. Applicants that develop open source technology or software that are placed in the public domain will be given preference.


Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollees; populations with specialized needs; populations – defined geographically (health of a community), clinically (health of those with specific diseases), or by socioeconomic class


The second round of the Health Care Innovation Awards will support public and private organizations in four defined areas that have a high likelihood of driving health care system transformation and delivering better outcomes. Specifically, in this second round, CMS is seeking proposals in the following categories:

  • Models that are designed to rapidly reduce Medicare, Medicaid, and/or CHIP costs in outpatient and/or post-acute settings.
  • Models that improve care for populations with specialized needs.
  • Models that test approaches for specific types of providers to transform their financial and clinical models.
  • Models that improve the health of populations – defined geographically (health of a community), clinically (health of those with specific diseases), or by socioeconomic class – through activities focused on engaging beneficiaries, prevention (for example, a diabetes prevention program or a hypertension prevention program), wellness, and comprehensive care that extend beyond the clinical service delivery setting.

In this round, CMS specifically seeks new payment models to support the service delivery models funded by this initiative. All applicants must submit, as part of their application, the design of a payment model that is consistent with the new service delivery model that they propose.

Link to RFP: