Value-Based Contracting
Expert articles and analysis related to value-based contracting.
AI Summary — Last 30 Days
CMS is accelerating a structural pivot from legacy physician quality reporting toward accountable-care risk: proposed CY 2027 Medicare Physician Fee Schedule/MSSP changes would shift physician payment, phase out MIPS, and expand ACO participation, while LEAD applicants face near-term strategic choices between LEAD and MSSP as CMS finalizes participant lists and financial methodology. The operating tension is moving from “whether to take risk” to “which risk chassis to choose”—MSSP, LEAD, ACO REACH, or episode models such as CJR-X—with governance, coding accuracy, downside-risk mitigation, and home-based care partnerships becoming core capabilities rather than optional infrastructure. Early performance signals remain material: agilon reported its ACO REACH entities generated $229 million in gross savings and $54 million for the Medicare Trust Fund in 2024, reinforcing why CMS and market participants are pushing harder on scalable ACO models despite scrutiny over CMMI savings transparency and MA coding intensity (agilon ACO REACH results; Wakely on LEAD risk strategy).
Related Articles
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WASHINGTON, D.C. (June 23, 2026) – The Health Care Transformation Task Force released a new publication, A Better Model for Kidney Care: Earlier Identification, Smarter Coordination, Better Outcomes, ...
A Better Model for Kidney Care: Earlier Identification, Smarter Coordination, Better Outcomes
The Health Care Transformation Task Force released a new case study featuring Strive Health’s value-based kidney care model, highlighting how risk-aligned partnerships and multidisciplinary care can i...
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Rethinking Downside Risk: The Role of Stop Loss in ACO Contracts Wakely
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How ACO Conveners Are Changing the Medicare Shared Savings Program (MSSP) Behind the Scenes
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Health services M&A is active in 2026, but uncertainty slows volume: PwC
Buyers are being more selective amid heightened policy and reimbursement pressure in healthcare, according to the analysis. Still, deal value is up compared to the first half of 2025.
PartsSource Acquires SkillNet | Azara Healthcare Acquired Advocatia
Check out today’s featured companies who have recently completed an M&A deal, and be sure to check out the full list of past healthcare IT M&A. PartsSource Acquires SkillNet to Add Workforce Intellige...