Value-Based Contracting
Expert articles and analysis related to value-based contracting.
AI Summary — Last 30 Days
CMS is signaling a broader Trump administration push to scale value-based contracting through mandatory or quasi-standardized models: the CJR Model’s reported $180 million in savings is strengthening the case for wider episode-based payment adoption, while CMS’s ACCESS expansion adds heart failure, COPD, substance use disorders, and tobacco-use tracks effective April 2027 to deepen chronic-care VBC infrastructure around digital enablement and longitudinal management (CJR savings; ACCESS expansion). At the same time, the finalized GLOBE drug payment model and renewed volatility in Medicare Advantage Star Ratings point to growing pressure on hospitals, ACOs, MA plans, and life sciences firms to manage downside risk across drugs, episodes, chronic disease, and quality bonuses—shifting VBC strategy from selective participation toward enterprise-wide actuarial, clinical, and data-operating capabilities.
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