Medicare Programs
Expert articles and analysis related to medicare programs.
AI Summary — Last 7 Days
CMS’s Medicare value-based care agenda is coalescing around more mandatory and specialty-specific models, with musculoskeletal care emerging as a focal point through CJR-X, TEAM, ACCESS, LEAD, ASM, and related falls-prevention concepts—signaling that hospitals, orthopedic groups, and post-acute partners should prepare for tighter episode economics and greater accountability for longitudinal outcomes (CMS seeks to expand joint replacement care model). At the same time, CMMI’s ACCESS model and renewed analysis of the Oncology Care Model point to a broader Trump administration push to test whether prevention, chronic-care management, and specialty oncology redesign can lower Medicare spending without simply shifting risk to providers (ACCESS model explained). For ACOs and health systems, the strategic tension is moving from “whether to take risk” to how to integrate primary care, specialty episodes, and care management infrastructure fast enough to perform across multiple overlapping Medicare payment models.
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