Payment Models
Expert articles and analysis related to payment models.
AI Summary — Last 7 Days
CMS’s payment-model agenda is coalescing around two tracks: longer-horizon voluntary accountable care through the 10-year LEAD Model, with ACOs facing a May 17, 2026 application decision, and broader mandatory episode-based payment via TEAM and a proposed nationwide redesign of CJR for joint replacements. The week’s through-line is that providers, ACOs, and technology vendors are preparing for more operationally demanding VBC—stronger actuarial risk selection, tighter specialty integration, and heavier data/quality infrastructure—while stakeholders debate whether models like LEAD and expanded CJR broaden accountable care or accelerate mandatory downside-risk exposure faster than health systems can adapt.
Related Articles
Broadening Accessibility To Accountable Care Via The Long-Term Enhanced ACO Design (LEAD) Model
Broadening Accessibility To Accountable Care Via The Long-Term Enhanced ACO Design (LEAD) Model Health Affairs
To LEAD or Not: Accountable Care Organizations have a decision to make by May 17
LEAD (the Long-term Enhanced ACO Design) Model is the Centers for Medicare & Medicaid Innovation Center’s newest accountable care organization (ACO) payment model, running for 10 years from January 1,...
CMS Proposes Knee and Hip Replacements
The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2027 fiscal year (FY) signals another major acceleration in Medicare’s transition toward mandatory value-based care. Among the mos...
A Mandatory Shift: Why the CMS TEAM Model is an Important Opportunity for Health Systems
A Mandatory Shift: Why the CMS TEAM Model is an Important Opportunity for Health Systems MedCity News
TEMPO and ACCESS encourage technology-enabled care for Medicare patients
10.1001/jama.2026.6659
From newsletter: On JAMA's ACCESS Perspective: Bone Health Was the Missed Track On JAMA's ACCESS Perspective: Bone Health Was the Missed Track The potential and pitfalls of the new CMS Model ͏ ͏ ͏ ...
https://www.cms.gov/priorities/innovation/innovation-models/cjr-x
From newsletter: On JAMA's ACCESS Perspective: Bone Health Was the Missed Track On JAMA's ACCESS Perspective: Bone Health Was the Missed Track The potential and pitfalls of the new CMS Model ͏ ͏ ͏ ...
https://www.cdc.gov/falls/data-research/facts-stats
From newsletter: On JAMA's ACCESS Perspective: Bone Health Was the Missed Track On JAMA's ACCESS Perspective: Bone Health Was the Missed Track The potential and pitfalls of the new CMS Model ͏ ͏ ͏ ...
10.1002/jbmr.2202
From newsletter: On JAMA's ACCESS Perspective: Bone Health Was the Missed Track On JAMA's ACCESS Perspective: Bone Health Was the Missed Track The potential and pitfalls of the new CMS Model ͏ ͏ ͏ ...
10.1002/jbmr.3877
From newsletter: On JAMA's ACCESS Perspective: Bone Health Was the Missed Track On JAMA's ACCESS Perspective: Bone Health Was the Missed Track The potential and pitfalls of the new CMS Model ͏ ͏ ͏ ...