Payer Contracting
Expert articles and analysis related to payer contracting.
AI Summary ā Last 30 Days
CMS is pushing payer contracting further toward outcomes-based, tech-enabled chronic care: the Innovation Center accepted 150 participants into the voluntary ACCESS model, launching July 5, to align Medicare payment with measurable results for obesity, diabetes, musculoskeletal pain, and depression in Original Medicare beneficiariesācreating a new contracting lane for digital health vendors, provider partners, and chronic-condition platforms under the Trump administrationās CMS leadership (CMS ACCESS participants). At the same time, ACO strategy is being shaped by renewed attention to MSSP growth and savings potential, plus early actuarial caution around the 2027 LEAD modelās data gaps and downside-risk exposure, reinforcing that VBC participants are being asked to scale beyond shared-savings contracting into more specialized, condition-focused, and technology-mediated risk arrangements (LEAD model risks).
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