Under the Center for Medicare & Medicaid Innovation (CMMI)’s Round 2 of the Health Care Innovation Awards (HCIA R2), 39 organizations received a three-year cooperative agreement, beginning in September 2014, to implement their proposed models for improving the quality of care and health, and for lowering the cost of care for Medicare, Medicaid, and Children’s Health Insurance Program beneficiaries. HCIA R2 built on the first round of HCIA funding with a focus on (1) reducing costs in outpatient or post-acute care settings; (2) improving care for patients with special needs; (3) improving health by enhancing patient engagement, disease prevention, and wellness efforts; and (4) fostering new payment models to support service delivery innovations.

This report is divided into two parts. Part I synthesizes the main findings from the impact evaluation. Part II provides the 38 awardee-specific evaluation reports that form the basis for the synthesis report.