Total Cost of Care
Expert articles and analysis related to total cost of care.
AI Summary — Last 30 Days
CMS is signaling a more assertive total-cost-of-care agenda under the Trump administration, with ACO REACH results showing material savings—reported as $988M in net savings for 2024—alongside reductions in high-needs and hospice-related spending, strengthening the case for capitated, high-risk population models in Medicare (CMS says ACO REACH generated $988M). At the same time, CMS finalized a nationwide mandatory joint-replacement bundled payment model beginning in 2028, extending total-cost accountability beyond voluntary ACO participation and raising strategic pressure on hospitals, specialists, post-acute providers, and conveners to build governance, episode analytics, and risk-management capabilities ([mandatory TJR bundling](
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ACO REACH Saved $706M in Spending, 8.9% Decline Among High-Needs Cohort Linked to Nursing Homes
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ACO REACH Saved $706M in Spending, 8.9% Decline Among High-Needs Cohort Linked to Nursing Homes
ACO REACH Saved $706M in Spending, 8.9% Decline Among High-Needs Cohort Linked to Nursing Homes Skilled Nursing News
UnitedHealth raises 2026 guidance again as cost controls pay off in Q2
UnitedHealth’s profit spiked to $5.5 billion in the second quarter thanks to notable earnings recovery in its insurance and value-based care delivery businesses. The healthcare juggernaut delivered fo...
Empassion Yields $60M in Cost Savings VIA ACO REACH
Empassion Yields $60M in Cost Savings VIA ACO REACH Hospice News
CMS Report: ACO REACH Cuts Hospice Spending
CMS Report: ACO REACH Cuts Hospice Spending Hospice News
The Facts About Medicare Spending
This interactive provides the facts on Medicare spending. Medicare, which serves 70 million people and accounts for 14 percent of the federal budget and 21 percent of national health spending, is at t...
How to make direct contracting finances work
As direct contracting arrangements grow — including one state requiring health systems to offer them — a leading provider identified keys to boosting their finances. Nick Stefanizzi, CEO of Northwell ...
A tragedy of epic proportions looms for healthcare
Garrett Hardin popularized the idea of a tragedy of the commons in a 1968 Science essay carrying that title.[1] It describes a situation in which individuals with unlimited access to a public resource...