The CBO report also identifies three improvements CMS could make in the design and evaluation of the demonstration projects program:
Neither CMS or the Department of Health and Human Services provided specific comments on the report findings. In an e-mail statement Erin Shields, director of communications for healthcare at HHS, said: "The Department tests a wide range of demos, not just for cost savings but also for quality improvement.
These demos were started under prior administrations and while not all of these demos have been successful, there are important lessons learned for what works and what doesn't. As the Obama Administration moves forward testing new, stronger payment models in partnership with private industry, we're confident that they will achieve cost savings and quality improvements."