Payment Reform
Expert articles and analysis related to payment reform.
AI Summary — Last 30 Days
CMS is accelerating payment reform under the Trump administration through two complementary CMMI tracks: the ACCESS model, a voluntary 10-year test tying Medicare payments for technology-supported chronic care to measurable outcomes in obesity, diabetes, musculoskeletal pain, and depression, and the LEAD ACO model, which is drawing attention as a potential expansion path for accountable care. ACCESS’s acceptance of roughly 150 participants signals strong provider and digital health interest, but its relatively lean payment rates create an early tension between CMS’s cost-discipline goals and participants’ need for sustainable economics in tech-enabled care delivery. For VBC stakeholders, the strategic signal is clear: CMS is continuing to favor scalable, outcomes-linked models, but participation decisions will hinge on whether organizations can manage downside operational risk, partner effectively with technology vendors, and generate savings under tighter payment assumptions (ACCESS launch coverage; [LEAD model analysis](https://news.google.com/rss/articles/CBMic0FVX3lxTE9veG5BNGpRZjZtaHVGczU5c1g0TlBQT1JHSnBkQk5Tc2JINVZpcEZQQVNPUnpGSUlBOFR4anZ0ZWtGTzJKdnd5UkwyaFRMQnB2akZ2aXdrYVMzMkg3ZjVY
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