Quality Metrics, Star Ratings & MIPS
Expert articles and analysis related to quality metrics, star ratings & mips.
AI Summary â Last 30 Days
Synthesis: Over the past 30 days, CMS has accelerated structural shifts toward outcomes-based Medicare payment through two major initiatives: the proposed expansion of the mandatory joint replacement bundled payment model (CJR-X), which would hold hospitals nationally responsible for costs and outcomes tied to musculoskeletal surgeries starting October 2027, and the upcoming launch of the voluntary ACCESS model, aligning payment with measurable chronic disease outcomes using technology-driven care for conditions like obesity, diabetes, and depression. These moves signal a clear strategic emphasis by CMS leadership on bundling, digital health integration, and aligning payment with quality metrics, creating both opportunities and pressures for providers, health systems, and technology partners seeking to succeed in future value-based care arrangements. See CMS proposes mandatory hospital-bundled model for joint replacements and CMS announces 150 participants for upcoming ACCESS model launch.
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