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Total Cost of Care

Expert articles and analysis related to total cost of care.

165 articlesLast 30 Days

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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