Medicare & CMS Programs
Expert articles and analysis related to medicare & cms programs.
AI Summary — Last 30 Days
Over the past 30 days, CMS under the Trump administration has signaled a decisive structural pivot in Medicare value-based care, emphasizing both expanded mandatory bundled payment models and technology-enabled chronic care management. The proposed nationwide resurrection of the Comprehensive Care for Joint Replacement (CJR-X) bundles marks a return to mandatory risk for hospitals, with explicit calls for tighter hospital–home health coordination, while simultaneously, CMS is launching the 10-year ACCESS model, enrolling 150 provider and technology partnerships to test leaner payment rates and voluntary participation tied directly to technology-facilitated chronic disease outcomes across obesity, diabetes, MSK pain, and depression. These parallel moves reflect a two-pronged strategy: tightening risk-based accountability for high-cost episodes and incentivizing digital and population health solutions for longitudinal care—shaping both market positioning and operational priorities for ACOs, health systems, and payer partners as the value-based shift accelerates. See: CMS Proposes Resurrection and Nationwide Expansion of Mandatory Joint Replacement Bundled Payment Model (CJR-X), CMS announces 150 participants for upcoming ACCESS model launch.
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