CMS finalizes 2026 Medicare outpatient payment rule with expanded site-neutral payments, enhanced hospital price transparency, and telehealth supervision provisions affecting hospitals and ASCs nationwide.
CMS finalizes the mandatory Ambulatory Specialty Model in Medicare, expanding value-based care to specialists treating chronic conditions with two-sided financial risk and collaborative care requirements.
CMS launches ACCESS Model to test outcome-based payments and digital tools for chronic care in Medicare, advancing value-based healthcare and technology adoption.
CMS finalizes a 1.3% Medicare payment cut to home health agencies for 2026, highlighting industry concerns over reimbursement declines, workforce impacts, and care access challenges.
MaineHealth's Trellis Health introduces a membership-based primary care system aiming to enhance access, reduce specialist visits, and improve provider work-life balance through direct payment models. This innovative approach may influence broader primary care payment reforms.
CMS extends the AHEAD Model to 2035, introducing payment reforms and transparency to improve Medicare cost control, prevention, and population health outcomes.
The AMA details a 7-step advocacy strategy for physicians to engage Congress and advance sustainable Medicare payment reforms amid ongoing payment challenges.
