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Value-Based Contracting & Incentives

Expert articles and analysis related to value-based contracting & incentives.

195 articlesLast 7 Days

AI Summary — Last 7 Days

In the past week, CMS has intensified its drive toward value-based care through two major moves: launching the application period for the new LEAD ACO Model, which aims to integrate specialists more fully into accountable care and necessitates rapid alignment from health systems, and finalizing a larger-than-expected 2.48% increase in 2027 Medicare Advantage (MA) capitation rates—while delaying risk adjustment model updates. These developments are heightening operational pressures and risk considerations for ACOs and payers, especially as the LEAD Model’s complexity and tight timelines demand careful evaluation by participants, including nursing homes and specialist groups. See CMS seeks applicants for LEAD ACO Model and [CMS to raise MA payments by 2.48 percent in 2027

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