Medicare Payment Policy
Expert articles and analysis related to medicare payment policy.
AI Summary — Last 7 Days
CMS’s latest ACO REACH results strengthened the case for downside-risk Medicare ACO models just as the program approaches its scheduled sunset: the model generated $988 million in Medicare savings in 2024, up sharply from 2023, while participants such as agilon reported material gross savings and Trust Fund contributions. At the same time, the Trump administration’s CMS is signaling a broader Medicare payment reset—proposals to reshape physician payment, phase out MIPS, expand MSSP participation, and transition REACH-like accountability into successor models such as LEAD ACO create both opportunity and uncertainty for ACO operators, physician groups, and payers. The key tension for VBC stakeholders is whether CMS can preserve REACH’s demonstrated savings and advanced-risk infrastructure while simplifying reporting, improving benchmarks, and avoiding disruption as organizations prepare for the next model cycle.
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