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Value-Based Contracting

Expert articles and analysis related to value-based contracting.

200 articlesLast 30 Days

AI Summary — Last 30 Days

CMS has accelerated structural transformation in value-based contracting this month, announcing 150 participants in the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model—a voluntary, technology-enabled payment initiative targeting chronic conditions like obesity, diabetes, MSK pain, and depression, but with leaner payment rates than expected and a focus on measurable outcomes rather than fee-for-service. At the same time, CMS proposed CJR-X, a mandatory nationwide hospital-bundled payment model for joint replacements set to begin in 2027, signaling a willingness to increase downside risk and mandatory participation for providers in episode-based care. Together, these policy moves are forcing stakeholders—especially providers and digital health partners—to recalibrate both strategic investments and risk appetites as CMS sharpens its focus on scalable, outcome-driven care models. For details, see Healthcare IT News on ACCESS and Becker’s ASC on CJR-X.

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