Healthcare Revenue & Finance

CMS, under the Trump administration, has released the Medicare FY27 proposed rule that would make the Comprehensive Care for Joint Replacement (CJR) bundled payment model mandatory for nearly all hospitals nationwide—a major shift toward value-based payment with direct revenue and operational consequences for health systems. In parallel, policy discussions in Medicaid are considering the introduction of per capita spending caps, a move that could fundamentally reshape state financing models and risk management strategies for Medicaid ACOs and providers. These developments signal heightened federal emphasis on fiscal accountability and risk-based payment, requiring immediate attention from executives overseeing population health and care delivery transformation. - CMS FY27 rule expands bundled payments, adjusts Medicare inpatient reimbursement rate - Medi-Cal Bold Idea — Consideration of a Medicaid Per Capita Cap