VBC Operations & Infrastructure
Expert articles and analysis related to vbc operations & infrastructure.
AI Summary â Last 30 Days
Over the past 30 days, CMS has accelerated a decisive shift toward mandatory episode-based reimbursement with the launch of the Transforming Episode Accountability Model (TEAM), signaling a return to bundled payments and underscoring the Trump administrationâs âbig stickâ approach to value-based care enforcement. Hospitals now face heightened downside riskâespecially for key procedural episodes like LEJR and spinal fusion with 2% discountsâamidst persistent operational gaps, highlighting the need for rapid infrastructure upgrades and focused quality improvement to remain competitive under new VBC requirements. These moves reflect a strategic realignment, making value-based care the default paradigm for Medicare providers and intensifying the urgency for health systems, ACOs, and payers to adapt structurally and operationally or risk significant financial exposure (Forvis Mazars: Preparing for Downside Risk.
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