Medicare & Medicaid Programs
Expert articles and analysis related to medicare & medicaid programs.
AI Summary — Last 24 Hours
CMS activity over the last 24 hours points to a sharper Trump administration push on Medicare payment accountability: the agency is recalculating 2026 Medicare Advantage Star Ratings, while OIG’s MA-specific guidance and denial scrutiny increase compliance and revenue risk for plans already facing provider backlash and contract exits (MA star ratings). On the VBC model front, CMMI’s LEAD model debate, joint replacement episode expansion, and concerns about oncology model methodology all reinforce the same tension for ACOs and health systems: CMS is expanding episode- and disease-focused accountability, but fee-for-service architecture and flawed benchmark methods continue to limit true population-based transformation ([LEAD model analysis](https://news.google.com/rss/articles/CBMiuwFBVV95c
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