CMMI Models
Expert articles and analysis related to cmmi models.
AI Summary — Last 30 Days
CMS is signaling a more assertive CMMI posture under the Trump administration: episode-based models are gaining momentum after reported Medicare savings from BPCI Advanced and the CJR Model, with stakeholders already preparing for a mandatory, open-ended CJR-X launch in 2028 and potential broader expansion of joint-replacement bundles (CJR savings and expansion). At the same time, CMMI is pushing into drug pricing and tech-enabled chronic care through the finalized GLOBE Part B drug payment model and the ACCESS Model’s expansion to heart failure, COPD, substance use disorders, and tobacco use—shifting VBC risk from utilization management alone toward specialty pharmacy, longitudinal digital care, and condition-specific accountability (ACCESS expansion). Provider groups are positioning defensively, with MGMA seeking to delay ASM and surgeons questioning payment cuts despite bundle savings, underscoring a central tension for ACOs and health systems: CMS is broadening mandatory and quasi-mandatory value-based models while participants argue the operational runway, specialty incentives, and downside-risk mechanics remain misaligned.
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