Payment Models
Expert articles and analysis related to payment models.
AI Summary — Last 30 Days
CMS is accelerating a broader Trump administration shift toward scalable value-based payment: the new 10-year ACCESS model will launch July 5 with 150 participants, tying Medicare payments for technology-enabled chronic care in obesity, diabetes, musculoskeletal pain, and depression to measurable outcomes, while the LEAD ACO model aims to broaden accountable care participation for organizations not yet positioned for traditional MSSP downside risk. At the same time, CMS is moving in the opposite direction of purely voluntary experimentation by proposing a nationwide mandatory expansion of the joint replacement bundled payment model, signaling that CMMI’s payment-model portfolio is being repositioned around larger tests, chronic-condition accountability, technology enablement, and taxpayer-protection goals. For ACOs, health systems, and payers, the near-term strategic tension is whether to build capabilities for voluntary, tech-enabled population health models like ACCESS or prepare for broader mandatory episode-based risk such as the proposed CJR-X expansion.
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