Cost & Affordability
Expert articles and analysis related to cost & affordability.
AI Summary — Last 24 Hours
CMS’ new mandatory CJR-X bundled payment model is sharpening the affordability test for value-based care: hospitals in selected markets will face renewed episode-based accountability for joint replacement cost and quality, reinforcing that the Trump administration’s CMS under Dr. Mehmet Oz and CMMI Director Abe Sutton is continuing to use mandatory models to drive savings, not just voluntary ACO participation (CJR-X analysis). At the same time, Medicaid affordability pressures are moving from budget debate to coverage disruption as Nebraska launches work requirements expected to remove 20,000–40,000 beneficiaries, creating immediate churn, uncompensated-care risk, and population-health blind spots for Medicaid ACOs and safety-net providers.
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