Care Coordination & Management
Expert articles and analysis related to care coordination & management.
AI Summary — Last 30 Days
CMS under the Trump administration is increasingly becoming the central VBC catalyst as Medicare Advantage plans pull back, with CMMI models such as LEAD, TEAM, and the future CJR-X pushing accountability deeper into in-home primary care, post-acute management, and episode-based coordination. The LEAD model is extending REACH-style infrastructure into longitudinal primary care for high-need patients, creating a clearer role for home health agencies and in-home care platforms, while TEAM and CJR-X are pressuring hospitals to prove they can manage discharge planning, home-based recovery, and total episode costs across the continuum. In parallel, Medicaid ACO experience in maternal health shows that population health gains depend less on attribution mechanics alone and more on care coordination capacity, community partnerships, and frontline care management workflows—capabilities that will increasingly determine winners as federal payment models shift from plan-led VBC toward CMS-driven accountability (Milbank).
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