Payment Model Reform

Payment model reform signals over the last 24 hours centered on growing pressure to replace legacy physician incentives: MedPAC’s critique of MIPS as administratively burdensome, weakly tied to patient value, and financially marginal for clinicians strengthens the case for CMS to move more physicians into population-based or episode-based models rather than continuing small fee-schedule adjustments (MedPAC on MIPS). At the same time, proposed 2027 Medicare physician pay cuts by specialty and renewed attention to ACO participation are sharpening the strategic question for health systems, specialists, ASCs, and senior living providers: whether to remain exposed to fee-for-service rate pressure or secure a role in ACO contracting, preferred networks, and shared-savings models ([ACO models and VBC participation](https://news.google.com/rss/articles/CBMitAFBVV95cUxNM3UzeURuSWNmV28yeG5GQnlydUFRMU9QV1ZGZTBEd2h3aXRzZjhoYmFJTUxUZUZ6WWpwaFoyNnl6TVFrVXdXbWxPa21lUXBZeWFRZzBVODZiZE1Hek12M01ZQ0RsbUt3R0U1