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Medicaid & CHIP Models

Expert articles and analysis related to medicaid & chip models.

196 articlesLast 30 Days

AI Summary — Last 30 Days

Over the past 30 days, CMS has advanced major Medicaid and CHIP payment model innovation, notably launching pediatric-focused ACO designs such as the ASPIRE model, which aims to use value-based mechanisms to improve outcomes for high- and rising-risk children and reduce overall costs. States—including California—are simultaneously experimenting with multipayer primary care payment reform under Medi-Cal, underscoring longer-term moves toward population-based payments, alignment across payers, and risk-sharing across a broader set of stakeholders. Meanwhile, expert commentary points to heightened pressure on CMMI to streamline models and achieve tangible cost reductions, creating strategic tension for state agencies and ACOs balancing risk transfer, provider engagement, and local flexibility within evolving federal frameworks. See [AMA: ASPIRE model for high-risk children](https://news.google.com/rss/articles/CBMiuwFBVV95cUxQRXhRZ1dUQW0yRmJabmpOQ0NDdXJFWDFFdjh1YmlDSFl0X204ZGdycEdvTnVxc3k1SGpqMXVqM0VnVXdvSkFrYkRkSld0OXdOZGlrQ1ozRnZQMEJqcUxRdE5VMmRYNldZU1N5Wkp5NkktOVljSVB0UFBYc1I0VUxfRUlBVVlvNUJXclZSV0I4

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