Cost & Price Transparency
Expert articles and analysis related to cost & price transparency.
AI Summary — Last 30 Days
Over the past 30 days, CMS under the Trump administration has announced two consequential structural moves in payment innovation: the proposed nationwide, mandatory CJR-X episode-based bundled payment model for joint replacements, and the launch of the ACCESS model, which invites over 150 organizations to test linking chronic care payments to technology-enabled outcomes. These developments signal a renewed federal push toward mandatory risk in high-cost surgical episodes—expanding beyond the original CJR's limits—and a parallel strategy to evaluate how tech partnerships can drive population health management and sustained Medicare savings in chronic disease. Such shifts intensify strategic pressure on hospitals, ACOs, and technology vendors to realign care delivery, pricing, and risk structures around more transparent, performance-oriented models. [CMS proposes mandatory hospital-bundled model for joint replacements | CMS greenlights 150+ participants for ACCESS chronic care model]
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