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CMMI Models

Expert articles and analysis related to cmmi models.

81 articles•Last 30 Days

AI Summary — Last 30 Days

CMS is advancing a more technology-enabled and outcome-tied CMMI portfolio under the Trump administration, with the ACCESS model launching July 5 with 150 participants to align Medicare payment with measurable results in chronic disease areas including obesity, diabetes, musculoskeletal pain, and depression. At the same time, the proposed LEAD model signals a longer-horizon accountable care redesign for 2027–2036—moving beyond MSSP and ACO REACH through locked base years, expanded capitation, and specialist risk-sharing—creating strategic pressure for ACOs, physician groups, and tech-enabled care partners to reassess risk readiness, attribution strategy, and chronic care infrastructure. See CMS’s ACCESS participant announcement coverage and model details here and Wakely’s LEAD analysis here.

Related Articles

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CMMI’s Advancing Chronic Care with Effective Scalable Solutions (ACCESS) Model Explained

In May 2025, CMS’s Center for Medicare & Medicaid Innovation (CMMI) unveiled it’s “Make America Healthy Again” vision. CMMI models focus on not only “protecting the federal taxpayer,” but also (i) pro...

Healthcare EconomistApr 28, 2026
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Around the nation: CMS halts BALANCE model after low payer participation

Around the nation: CMS halts BALANCE model after low payer participation  Advisory Board

Advisory BoardApr 23, 2026
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CMS delays Part D portion of BALANCE Model on expansion of GLP-1 access

CMS delays Part D portion of BALANCE Model on expansion of GLP-1 access  American Hospital Association

AHAApr 22, 2026
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Two providers say no to LEAD, showing there’s room to grow on LTC value-based care

Two providers say no to LEAD, showing there’s room to grow on LTC value-based care  McKnight's Long-Term Care News

McKnight's Long-Term Care NewsApr 20, 2026
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LEAD: Can CMS' new model expand value-based care?

LEAD: Can CMS' new model expand value-based care?  Advisory Board

Advisory BoardApr 20, 2026
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Risks Facing 2027 LEAD Model Participants

Practical guidance for ACOs and considering enrolling in CMS’s new LEAD model  In our new whitepaper, Wakely experts outline the material risks facing 2027 LEAD participants, with a focus on three cri...

WakelyApr 17, 2026
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Lean payment, voluntary participation test new ACCESS model

Lean payment, voluntary participation test new ACCESS model  Healthcare Finance News

Healthcare Finance NewsApr 16, 2026
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It’s Time to Bring DME Into LEAD: The Right Way

It’s Time to Bring DME Into LEAD: The Right Way  Pearl Health

Pearl HealthApr 16, 2026
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MGMA Government Affairs with CMS Innovation Center: Medicare Value-Based Care and the LEAD Model

MGMA Government Affairs with CMS Innovation Center: Medicare Value-Based Care and the LEAD Model  Medical Group Management Association - MGMA

MGMAApr 12, 2026
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LEAD: CMS brings Medicare Advantage-like flexibility to original Medicare

LEAD: CMS brings Medicare Advantage-like flexibility to original Medicare  JD Supra

JD SupraApr 9, 2026