Quality Metrics & Ratings

CMS is moving quality measurement deeper into episode- and condition-based payment design: CJR’s reported $180M in Medicare savings while maintaining quality is strengthening the case for broader mandatory or quasi-mandatory episode models, while TEAM is already pushing hospitals toward tighter outpatient, post-acute, and home health coordination. At the same time, the Trump administration is expanding the technology-enabled ACCESS Model into additional chronic conditions for 2027, signaling a longer-term shift toward scalable population health infrastructure, digital monitoring, and cross-payer alignment—but with continued tension around administrative burden, interoperability, and whether quality accountability keeps pace with model expansion (CJR savings and expansion case; ACCESS chronic condition expansion).