Care Management
Expert articles and analysis related to care management.
AI Summary — Last 7 Days
Care management is becoming the operational center of gravity for VBC as CMS/CMMI under the Trump administration pushes models that tie chronic disease management, specialty episodes, and safety-net innovation to measurable outcomes, taxpayer protection, and scalable technology infrastructure—most notably through the ACCESS model and its alignment with CMMI’s “Make America Healthy Again” vision (ACCESS model explained). At the same time, provider systems and payers are converging around more intensive longitudinal workflows—heart failure management, pediatric Medicaid partnerships, HCBS quality measures, and joint replacement episodes—creating pressure for ACOs and health systems to prove that care management investments can reduce avoidable utilization while improving specialty and population-level outcomes (care management transformation).
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