Medicare Program Policy
Expert articles and analysis related to medicare program policy.
AI Summary — Last 24 Hours
CMS’ Medicare policy agenda continues to tighten the economics of provider risk: the proposed 1.7% physician fee schedule cut would pressure primary care and specialist participation just as Medicare Advantage network instability is drawing renewed scrutiny, with beneficiaries locked into plans even when physicians exit networks midyear. For VBC leaders, the immediate operational signal is to double down on network adequacy monitoring, attribution stability, and specialist alignment while preparing for mandatory episode-payment expansion under CJR-X, where hospitals will need tighter post-acute management and orthopedic cost controls to succeed in CMS’ bundled payment model (CJR-X guidance; Medicare physician cut
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