Benchmarking & Risk
Expert articles and analysis related to benchmarking & risk.
AI Summary — Last 7 Days
CMS’s CY 2027 PFS/MSSP proposals are sharpening the strategic focus on ACO benchmarking and risk, with potential changes that could materially affect benchmark calculations, shared savings projections, and participation decisions across the Medicare Shared Savings Program. The week’s commentary suggests a widening tension for VBC leaders: MSSP reforms may create new upside opportunities, but they also increase actuarial uncertainty just as CMS is advancing mandatory episode-based payment through CJR-X, requiring tighter forecasting, coding integrity, and downside-risk readiness. See Wakely’s actuarial readout on the CY 2027 MSSP proposed changes and Forvis Mazars’ guidance on CJR-X readiness.
Related Articles
CY 2027 MSSP Proposed Rule Analysis: What the Medicare Shared Savings Program Changes Mean for ACOs
CMS has proposed one of the most significant sets of Medicare Shared Savings Program (MSSP) financial changes in recent years. While many of the proposed changes create new opportunities for Accountab...
Risk Adjustment Coding Deep Dive: Real‑World Insights from the Experts
Risk Adjustment Coding Deep Dive: Real‑World Insights from the Experts  AAPC
CJR-X: How to Succeed in CMS’ Mandatory Bundled Payment Model
Back for seconds: The MSSP proposed changes in the CY 2027 PFS proposed rule
Back for seconds: The MSSP proposed changes in the CY 2027 PFS proposed rule  JD Supra
Molina plans additional ACA cuts in 2027
Molina’s second quarter was complicated, with stability in Medicaid and outperformance in Medicare Advantage overshadowed by problems in the ACA exchanges. The trend was “unfortunate,” according to th...
CMS Proposes Major Reforms to Medicare ACOs and Physician Pay
Accountable care organization leaders detail wins, and unfinished business, in Medicare reform
Accountable care organization leaders detail wins, and unfinished business, in Medicare reform  Medical Economics
Accountable care organization leaders detail wins, and unfinished business, in Medicare reform
Healthcare Upside / Down: The Hidden Risk & What Happens Before Your Patients Ever Walk In the Door
Healthcare Upside / Down: The Hidden Risk & What Happens Before Your Patients Ever Walk In the Door  Becker's Hospital Review
CJR-X: How to Succeed in CMS’ Mandatory Bundled Payment Model
CJR-X: How to Succeed in CMS’ Mandatory Bundled Payment Model  Forvis Mazars US