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CMMI Innovation Models

Expert articles and analysis related to cmmi innovation models.

12 articles•Last 7 Days

AI Summary — Last 7 Days

CMMI model activity this week signals a sharper split between mandatory episode-based risk and accountable care expansion: hospitals are being pushed to operationalize TEAM readiness ahead of January 1, 2027 downside risk, while advisors are also framing CJR-X as a continuation of CMS’ mandatory bundled-payment playbook for surgical episodes. At the same time, ACO REACH results are strengthening the case for high-needs and serious-illness population management, with reports citing $706M in savings and hospice-spending reductions, plus participant-level wins such as Empassion’s $60M savings—evidence payer and provider strategists will likely use to defend advanced ACO models even as the Trump administration’s CMS leadership evaluates CMMI’s portfolio. The near-term tension for VBC stakeholders is execution: hospitals need contracting and governance vehicles to manage mandatory episode risk, while ACOs and post-acute partners are using REACH and GUIDE momentum to deepen care-management networks across nursing homes, hospice, assisted living, and dementia care (TEAM readiness; [ACO REACH savings](https://news.google.com/rss/articles/CBMivwFBVV95cUxOT0dVRWJ4QlhJY3

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