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CMS Programs

Expert articles and analysis related to cms programs.

197 articlesLast 7 Days

AI Summary — Last 7 Days

CMS’ proposed 2027 Medicare Physician Fee Schedule is emerging as a mixed signal for VBC stakeholders: physician groups face another payment cut, but the rule also advances primary care, quality-payment, and ACO-related changes that could strengthen care management and home-based partnerships. At the same time, new ACO REACH results—$706M in savings and an 8.9% spending decline among high-needs beneficiaries linked to nursing homes—are reinforcing CMMI’s case for accountable care in complex populations, even as Congress remains divided over CMS’ WISeR Medicare prior authorization pilot and broader concerns about AI-enabled utilization management ([ACO REACH results](https://news.google.com/rss/articles/CBMizAFBVV95cUxOQjlVdHZNZm5lSS03NkljUzBMWlY4ak1wc2ZJMzVid18wbW5yUVEwN0J1ZjZrUjJxV1lwemp4VVVzeVRTcVVqcm9CcVZ2MVBMY0RRUm5qbm1FeUZ6ZGh0Qi1qTVA4TnM1WE1lOGtDNkZnN3RiMHhEbDU0YVlSZjQ0dGhvS0RXZVowUW1mX1NtM0FBajc5TmY3R0RSTFUwREZ0Q

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