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CMMI Models

Expert articles and analysis related to cmmi models.

95 articlesLast 30 Days

AI Summary — Last 30 Days

CMS is accelerating a shift back toward mandatory, episode-based value-based payment: the finalized Comprehensive Care for Joint Replacement Expanded (CJR-X) model would require broader hospital participation by 2028, while TEAM is positioning home health and post-acute providers to prove value through tighter discharge planning, readmission avoidance, and episode cost control. This creates a strategic tension for hospitals and ACO-aligned networks: mandatory models can standardize accountability and create scale for care redesign, but they also add material administrative burden—recent analysis pegs mandatory hospital VBP programs at roughly $3 billion annually—making operational readiness, data infrastructure, and post-acute network management central to margin protection. As Medicare Advantage plans pull back from some risk-bearing activity, CMS/CMMI models such as CJR-X and emerging primary-care models like LEAD are becoming a more important engine for VBC strategy across hospitals, home-based care, and ACOs.

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