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Policy & Regulatory Changes

Expert articles and analysis related to policy & regulatory changes.

190 articlesLast 30 Days

AI Summary — Last 30 Days

CMS’ latest ACO REACH data is sharpening the policy tension around CMMI’s portfolio: the model produced $988 million in Medicare savings in 2024, up from roughly $695 million in 2023, even as it remains scheduled to sunset at year-end—creating strategic uncertainty for high-needs, home-based, hospice, and nursing-facility-oriented organizations that built care models around REACH incentives (Healthcare Dive). At the same time, the Trump administration’s CMS is moving on multiple fronts that signal a harder-edged VBC environment: mandatory bundles such as CJR-X are re-emerging as a core accountability tool, physician payment proposals could reshape ACO–home care economics, and Medicare Advantage Star Ratings litigation underscores growing payer-provider exposure to CMS quality methodology and revenue adjustment risk. For ACOs, health systems, and payer partners, the near-term strategy is to preserve REACH-like capabilities—advanced risk coding governance, post-acute management, home-based care integration, and specialty cost control—while preparing for a more mandatory, more scrutinized CMMI under CMS Administrator Dr. Mehmet Oz and CMMI Director Abe Sutton.

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