CMMI Payment Models
Expert articles and analysis related to cmmi payment models.
AI Summary — Last 30 Days
CMS is moving CMMI back toward mandatory, large-scale risk transfer: CJR-X will require most hospitals to participate in a nationwide joint-replacement bundled payment model beginning in 2028, while TEAM’s downside-risk phase starts in 2027—forcing health systems to build episode governance, specialist alignment, post-acute networks, and data infrastructure well before performance years begin (HFMA). At the same time, CMS’s July 14 LEAD methodology update is reshaping the PY2027 ACO business case by changing benchmarks, risk-track economics, beneficiary alignment, and TIN strategy, even as ACO REACH posts strong 2024 Medicare savings before its scheduled sunset—creating a strategic tension between proven accountable-care savings and the Trump administration’s apparent preference for redesigned, more prescriptive CMMI models (Wakely).
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CMS Rewrites the LEAD Model Business Case: What ACOs Must Recalculate for PY 2027
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Turning TEAM Risk into Opportunity: The Case for a Value-Based Enterprise
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CMS To Require Expanded Joint Replacement Model Participation By 2028
Client Alert: Centers for Medicare & Medicaid Services Finalize Comprehensive Care for Joint Replacement Expanded, a Mandatory Nationwide Bundled Payment Model for Joint Replacement Care
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Client Alert- Centers for Medicare & Medicaid Services Finalize Comprehensive Care for Joint Replacement Expanded, a Mandatory Nationwide Bundled Payment Model for Joint Replacement Care
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Bundle Up: CMS Mandates TJR Reimbursement Bundling Nationwide
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CJR-X mandatory bundled payment model begins for hospitals in 2028
Hospitals have 17 months to prepare for the first mandatory nationwide alternative payment model, as established in Medicare’s FY27 final rule for the Inpatient Prospective Payment System (IPPS) and l...