ACO Models & MSSP

Stakeholders are already positioning around CMS’s CY 2027 physician payment and value-based care agenda, with Premier urging CMS to strengthen MSSP/ACO participation, reduce administrative burden, improve interoperability, and align payment policy with accountable quality and outcomes—signals that ACO operators are pressing the Trump CMS team for more predictable participation economics and less compliance drag. Aledade is likewise mobilizing providers around the proposed 2027 Physician Fee Schedule, underscoring that physician payment updates, quality reporting, and MSSP policy changes will be central to near-term primary care VBC strategy. See Premier’s comments on physician payment and VBC proposals and Aledade’s briefing on the proposed 2027 physician fee schedule.