Total Cost of Care
Expert articles and analysis related to total cost of care.
AI Summary â Last 7 Days
CMS is moving total-cost-of-care accountability from voluntary VBC rhetoric toward mandatory episode-based payment, finalizing a nationwide mandatory joint replacement model beginning in 2028 alongside the FY2027 inpatient ruleâraising provider concerns about adequacy of base payment updates and downside exposure for hospitals managing orthopedic cost variation (Healthcare Dive). At the same time, budget pressure around Medicare, dual-eligible nursing home populations, and insurer medical-cost trend is intensifying interest in risk contracting across Medicare Advantage, Medicaid, commercial direct contracting, and SNF-linked value-based models, even as stakeholders remain skeptical that VBC will fully displace fee-for-service rather than operate as a parallel financial overlay ([Skilled Nursing News](https://news.google.com/rss/articles/CBMiwAFBVV95cUxPbWJLYnk0YmFoRHhpYlJGTkVyZ1lrTkxtaHdfRjcwSFRJUHl1WEItT1hKLXFPUFJjRVFlVElPQXFsVWp6bnJodzl5ajRITWJtdGNIMnNnZ0pWWm5Qc252NU1vQmZjOG9MVkM3cUZzLVRac01lVjdHUTViT2p2aHpNLUdkaHFT
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