Value-Based Contracting & Performance
Expert articles and analysis related to value-based contracting & performance.
AI Summary — Last 24 Hours
CMS, under the direction of Dr. Mehmet Oz, has opened applications for the new LEAD ACO Model, signaling a continued emphasis on accountable care organizations and a push for broader value-based care adoption in Medicare populations as part of the Trump administration’s agenda. At the same time, ongoing scrutiny of CMMI’s limited success in scaling value-based models is intensifying Republican oversight and raising questions about future reforms and federal investment strategies in care transformation.
Related Articles
CMS finalizes policy and technical changes to Medicare, MA, Part D for CY 2027
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A bipartisan group of lawmakers has introduced the Provider Reimbursement Stability Act, legislation aimed at modernizing the Medicare Physician Fee Schedule to address decades of declining physician ...
to limit downward pressure
From newsletter: Weekly Health Policy Briefing 04/02/2026 Weekly Health Policy Briefing 04/02/2026 Inferred risk for ACOs and tough choices for state legislators and Medicaid agencies. ...
DME fraud cases mount as federal scrutiny intensifies
Since March 24, the Justice Department has sentenced, accused or settled with three physicians and one durable medical equipment company owner for fraud cases. The activity comes as CMS is currently e...
Association of Medicare Enrollment With Increased Inpatient Coding Intensity
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An effective value-based care model shouldn’t cost $75,000 extra per year, says Marta J. Van Beek, M.D., M.P.H.
An effective value-based care model shouldn’t cost $75,000 extra per year, says Marta J. Van Beek, M.D., M.P.H. Managed Healthcare Executive
Autism Impact Fund Bets on AI, Data and Value-Based Models in Fund Two Strategy
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Michigan system acquires 25-office medical group
Detroit-based Henry Ford Health has added Clinton Township, Mich.-based Cornerstone Medical Group effective April 1. Cornerstone comprises 25 offices in the Detroit area offering family and internal m...
ACO REACH PY2026 explained: What is changing and why it matters
From newsletter: Weekly Health Policy Briefing 04/02/2026 Weekly Health Policy Briefing 04/02/2026 Inferred risk for ACOs and tough choices for state legislators and Medicaid agencies. ...
Tim Fitzpatrick dug into the results
From newsletter: Weekly Health Policy Briefing 04/02/2026 Weekly Health Policy Briefing 04/02/2026 Inferred risk for ACOs and tough choices for state legislators and Medicaid agencies. ...