Provider Networks

CMS is signaling a more aggressive shift from fragmented fee-for-service incentives toward accountable, network-based payment: the proposed 2027 Medicare Physician Fee Schedule would increase support for primary care, move toward phasing out MIPS, and expand ACO participation, while ACO REACH’s reported nearly $1B in 2024 savings gives the Trump administration evidence to defend and scale risk-bearing models (CMS physician pay/ACO proposal, ACO REACH savings.