Medicare Payment Programs
Expert articles and analysis related to medicare payment programs.
AI Summary — Last 24 Hours
CMS is again recalculating Medicare Advantage Star Ratings and related bonus payments, injecting fresh volatility into a program where 4+ star plans receive billions in quality bonuses and raising near-term revenue, bid, and litigation risk for MA plans, providers in MA value-based contracts, and ACO-adjacent population health strategies. At the same time, implementation activity around CMS innovation models is accelerating: cardiology stakeholders received ACCESS Model resources, while vendors are launching tools to model downside risk and post-acute exposure under the LEAD ACO model—signaling that ACOs need tighter actuarial, referral, and post-acute management capabilities before taking on more longitudinal Medicare risk (MA Star Ratings recalculation; [ACCESS Model resources](https://news.google.com/rss/articles/CBMivgFBVV95cUxOX2xGM1BwNGN5cGMxSldMSTE3bXJnRHl0cjFZd1pQblg4cmJNRG5fUENJRkVpRkxuTnNHQnJxRVRZZDJmMGdwMFBSb1hjWV9yaG5aNDY2UDFEdzBWamNwRlowUW1yTF8zMkJ4dVF0SE
Related Articles
Arbital Health Launches ATLAS to Navigate CMS LEAD Model Financial Strategy
Arbital Health Launches ATLAS to Navigate CMS LEAD Model Financial Strategy  PR Newswire
STAT+: CMS recalculates Medicare Advantage star ratings again, adding more volatility to program
Medicare Advantage plans that receive four out of five stars or better get bonus payments, which have ballooned to $16 billion this year.
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How CMMI’s Mission Remains the Same Despite Changes in Leadership  NEJM Catalyst Innovations in Care Delivery
Preparing for LEAD: Why post-acute visibility is the key to long-term value-based success
Preparing for LEAD: Why post-acute visibility is the key to long-term value-based success  Fierce Healthcare
Changes in Medication Use After Medicare Part D Annual Out-of-Pocket Spending Caps
Changes in Medication Use After Medicare Part D Annual Out-of-Pocket Spending Caps  JAMA
Changes in Medication Use After Medicare Part D Annual Out-of-Pocket Spending Caps
Changes in Medication Use After Medicare Part D Annual Out-of-Pocket Spending Caps  JAMA
CMS Releases Resources For ACCESS Model Implementation
CMS Releases Resources For ACCESS Model Implementation  American College of Cardiology
Arbital Health Launches ATLAS to Model Financial Risk Under CMS LEAD ACO Program
Arbital Health Launches ATLAS to Model Financial Risk Under CMS LEAD ACO Program  TipRanks
Arbital Health Launches ATLAS to Navigate CMS LEAD Model Financial Strategy
Arbital Health Launches ATLAS to Navigate CMS LEAD Model Financial Strategy  Yahoo Finance Singapore