Value-Based Contracting
Expert articles and analysis related to value-based contracting.
AI Summary ā Last 30 Days
CMS is pushing value-based contracting toward larger, longer-duration, and more risk-bearing structures: CMMIās new 10-year Long-term Enhanced ACO Design (LEAD) Model creates a strategic fork for ACOs considering participation by the May 17, 2026 deadline, while the FY 2027 IPPS proposal signals continued movement toward mandatory episodic payment through a redesigned, potentially nationwide CJR model. At the same time, CMSās 2027 Medicare Advantage rate direction aims to narrow MA plansā payment advantage, increasing pressure on payers and providers to prove risk-adjusted performance, specialty-care ROI, and population health infrastructure rather than relying on coding or benchmark arbitrage. For health systems, ACOs, and payer partners, the near-term positioning question is whether to scale accountable care capabilities across primary care, specialty models like kidney care, and episodesābefore CMS and market contracts make downside-risk readiness less optional. LEAD Model overview | MA payment changes
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