CMMI Alternative Models
Expert articles and analysis related to cmmi alternative models.
AI Summary â Last 7 Days
CMS/CMMI is signaling a more aggressive alternative-model posture under the Trump administration, pairing mandatory cost-control tests with condition-focused care redesign: CMS finalized the mandatory GLOBE model to test most-favored-nation-style pricing for Medicare Part B drugs, while the ACCESS model is expanding technology-enabled chronic care options into heart failure, COPD, substance use disorders, and tobacco use beginning spring 2027. At the same time, CJRâs reported $180M in savings is strengthening the case for broader episode-based payment expansion, creating a clear pattern for VBC stakeholders: more federal willingness to mandate participation, use technology and AI-enabled management tools, and push downside cost discipline across drugs, procedures, and chronic disease management. For ACOs, health systems, and payers, the near-term strategic tension is whether these models create scalable infrastructure for population health and specialty integrationâor simply add overlapping compliance, prior authorization, and financial-risk exposure across Medicare lines of business (GLOBE model; CJR expansion signal).
Related Articles
CJR Model's $180M savings pave way for nationwide expansion
CJR Model's $180M savings pave way for nationwide expansion  TechTarget
CMS Expands ACCESS Model: Heart Failure, COPD, SUDs & Tobacco Added for Spring 2027
CMS Expands ACCESS Model: Heart Failure, COPD, SUDs & Tobacco Added for Spring 2027Â Â Crowell & Moring LLP
CMS finalizes GLOBE drug pricing model
CMS finalizes GLOBE drug pricing model  American Hospital Association
Texas Medical Association urges CMS to delay mandatory specialty model
Texas Medical Association urges CMS to delay mandatory specialty model  Becker's ASC
CMMIâs Sutton: The Next Wave of Healthcare Innovation Must Take Cost Out
CMMIâs Sutton: The Next Wave of Healthcare Innovation Must Take Cost Out  RamaOnHealthcare
Medicare Tests ACCESS to Improve Chronic Care Through Technology
CMS Adds Technology-Focused Medicare Options to Manage Several Common Chronic Conditions
The post CMS Adds Technology-Focused Medicare Options to Manage Several Common Chronic Conditions appeared first on Hooper Lundy & Bookman.
The Payment Model Thatâs Holding Back Californiaâs Health Care System
Bundled Payments in Community Oncology: Making It Work
Bundled Payments in Community Oncology: Making It Work  Oncology News Central
WISeR, âMedical Frailty,â and AIâs Impact on Healthcare Affordability
The House has gone home until after midterms, and the Senate has one foot out the door. In the meantime, letâs take a spin around the Beltway and see whatâs percolating with the administrationâs healt...