Medicare & Medicaid Programs
Expert articles and analysis related to medicare & medicaid programs.
AI Summary — Last 30 Days
CMS is intensifying its Trump-era VBC agenda through CMMI by pairing tech-enabled chronic disease accountability with a return to mandatory episodic payment: the new ACCESS model will launch July 5 with 150 participants testing outcome-tied payments for Original Medicare beneficiaries with obesity, diabetes, musculoskeletal pain, and depression, while CMS is also proposing a nationwide expansion of a mandatory joint replacement bundle, CJR-X. Together, ACCESS and the proposed CJR-X expansion signal a structural pivot toward scalable, condition-specific accountability—pressuring ACOs, hospitals, physician groups, home health agencies, and digital health partners to prove measurable outcomes under leaner payment terms while coordinating across acute, post-acute, and longitudinal care settings.
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