Payment Reform
Expert articles and analysis related to payment reform.
AI Summary — Last 24 Hours
CMMI’s 10-year ACCESS Model is drawing attention as the Trump administration’s clearest near-term payment-reform signal: the first cohort mixes digital health, connected-care, AI-native, ACO enablement, and tech-enabled plan participants, positioning chronic-condition management as a test bed for scalable, technology-enabled value-based payment adoption (Fierce Healthcare). At the same time, provider-side readiness remains a constraint: rural independent practices face persistent barriers to participating in value-based models, while
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A deeper dive into CMMI's tech-enabled ACCESS Model
A deeper dive into CMMI's tech-enabled ACCESS Model  Fierce Healthcare
The LI Daily: A deeper dive into the ACCESS Model—Who’s participating, potential headwinds and how it could spur health plan adoption
A deeper dive into the ACCESS Model—Who’s participating, potential headwinds and how it could spur health plan adoption Fierce Healthcare By Heather Landi May 4, 2026 7:30am The first cohort of the AC...
Respiratory Question for the Week of May 4, 2026
When ventilation management is provided during an observation stay, how will the service be paid?
The challenges of independent rural healthcare practices
Nick Hut provides an up-to-date look at the value-based payment model landscape. Erika Grotto talks with Ziad Khoury, MD and Jason McKitrick about the challenges and opportunities in rural health. The...
Cardiology Question for the Week of May 4, 2026
What are the key 2026 CMS IPPS and LTCH payment updates, including the final IPPS operating update percentage?
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Accepting Downcoded Medicare Advantage Payments: A Growing False Claims Act Risk for Hospitals
Hospitals across the country are facing mounting financial pressure from Medicare Advantage (MA) plans. One increasingly common tactic used by MA payers is systematic downcoding: paying hospitals at a...
Laboratory Question for the Week of May 4, 2026
Can you clarify the terms "screening" or "screen?"
The Impacts of Starting the Admission Order with the ED Physician
Increasing pressure to improve emergency department (ED) throughput has led many hospitals to adopt workflows in which ED physicians initiate inpatient or outpatient observation orders prior to a full...
In US Healthcare, It’s Incrementalism before Transformation by Necessity
This will be a quiet week for healthcare in DC with major hearings, confirmations and legislative votes not scheduled. Last week was relatively calm as well. The House Ways and... The post In US Healt...