Medicare, Medicaid & CHIP
Expert articles and analysis related to medicare, medicaid & chip.
AI Summary — Last 30 Days
In the past 30 days, CMS has accelerated value-based care transformation in Medicare and Medicaid with two structural initiatives: the nationwide expansion of the mandatory joint replacement bundled payment model (CJR-X), signaling a return to large-scale bundled payment experiments, and the launch of the voluntary ACCESS model, which ties payments for chronic disease management to measurable outcomes through technology-enabled care partnerships. With more than 150 providers and digital health companies selected for ACCESS—and payment rates coming in leaner than expected—stakeholders face a landscape of increasing risk, new care delivery requirements, and heightened emphasis on outcomes for populations with obesity, diabetes, musculoskeletal pain, and depression. These shifts indicate a broader push by CMS to test both mandatory and voluntary payment reforms while leveraging technology and payer-provider alignment as levers for sustainable value-based care adoption. For more detail, see CMS proposes resurrection and nationwide expansion of mandatory joint replacement bundled payment model (CJR-X) and CMS announces 150 participants for upcoming ACCESS model launch.
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