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CMS Payment Models

Expert articles and analysis related to cms payment models.

199 articlesLast 30 Days

AI Summary — Last 30 Days

CMS is pushing a broader VBC portfolio under the Trump administration, with CMMI advancing the Long-Term Enhanced ACO Design (LEAD) model to expand accountable care participation while also launching the 10-year ACCESS model, which accepted 150 participants and ties Medicare payment for chronic conditions such as obesity, diabetes, musculoskeletal pain, and depression to measurable outcomes enabled by technology partners (ACCESS participants). The strategic signal for ACOs, physician groups, and payers is a shift toward scalable, tech-enabled population health models with lighter upfront participation barriers, but with increasing accountability for outcomes, data infrastructure, and specialty/chronic disease performance. At the same time, CMS’s proposed resurrection and nationwide expansion of the mandatory CJR-X bundled payment model points to renewed interest in mandatory episode-based accountability, creating tension between voluntary growth models like LEAD/ACCESS and compulsory hospital-led bundles that require tighter post-acute and home health coordination (CJR-X proposal).

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