Medicare & CMS Initiatives
Expert articles and analysis related to medicare & cms initiatives.
AI Summary â Last 30 Days
CMS, under the Trump administration and CMMI leadership, has accelerated structural transformation in Medicare value-based care, most notably with the ACCESS and LEAD models. The ACCESS model, which launches on July 5 with 150 selected participantsâincluding digital health firms and major payersâfeatures leaner payment rates than anticipated and pushes deeper integration of technology-driven chronic disease management for conditions like diabetes, obesity, musculoskeletal pain, and depression CMS announces 150 participants for upcoming ACCESS model launch. Simultaneously, CMS is advancing a proposed nationwide revival of mandatory bundled payments for joint replacement (CJR-X), signaling increased interest in mandatory models to achieve broader accountability and cost control CMS Proposes Resurrection and Nationwide Expansion of Mandatory Joint Replacement Bundled Payment Model (CJR-X). These moves highlight a policy shift toward both scaling population health infrastructure via technology and testing more aggressive risk-bearing modelsâplacing strategic pressure on ACOs, providers, and payers to adapt to a more âall-inâ VBC environment.
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