Medicare Policy
Expert articles and analysis related to medicare policy.
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CMS is signaling a structural pivot in Medicare VBC: strong 2024 ACO REACH performance—$988 million in Medicare savings before the model sunsets—creates pressure for the Trump administration’s CMS, under Dr. Mehmet Oz and CMMI Director Abe Sutton, to preserve or translate key elements into successor ACO models rather than let momentum dissipate (ACO REACH savings). At the same time, proposed Medicare physician payment and MSSP changes would push more clinicians toward accountable care, phase down MIPS-style reporting, and reshape incentives for ACOs, primary care, and home-based care partners—moves that favor organizations with strong risk management, data infrastructure, and longitudinal care capabilities (Medicare physician fee schedule/MSSP proposal
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