CMMI Alternative Models

Signals over the last 24 hours were mostly adjacent to CMMI alternative models rather than direct CMS model changes: ACA risk-adjustment transfers reached $11.2B, underscoring how risk coding, actuarial accuracy, and member mix remain central financial levers for payers operating in value-based environments and exchange-adjacent population health strategies (Modern Healthcare). Provider-side developments point to operational VBC priorities—CMO-led quality improvement, Epic leadership transition risk for health system data infrastructure, and DaVita’s AI kidney-care narrative—reinforcing that success in ACOs, specialty bundles, and kidney care models will hinge less on new CMMI announcements today and more on execution capacity, analytics, and quality governance ([DaV