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Alternative Payment Models

Expert articles and analysis related to alternative payment models.

9 articles•Last 24 Hours

AI Summary — Last 24 Hours

CMS is expanding the ACCESS Model to additional chronic conditions, signaling the Trump administration’s push to move specialty and chronic-care management further into alternative payment arrangements focused on outcomes rather than documentation burden; Dr. Mehmet Oz framed the shift as “treat patients instead of just checking boxes” (MedCity News, Medical Economics). At the same time, NAACOS is elevating congressional allies for accountable care leadership, underscoring ACO stakeholders’ continued push for stable Medicare incentives and legislative support as CMS broadens VBC model activity. Separately, President Trump’s Medicaid “most favored nation” drug-pricing initiative gained commitments from all states, D.C., and Puerto Rico, creating a parallel pressure point for Medicaid managed care and population-health budgets even as operational details remain unclear.

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