CMS announces the ACCESS Model, a 10-year voluntary value-based payment program to expand tech-enabled care for Medicare chronic condition patients, linking payments to health outcomes.
CMS announces the ACCESS Model, a 10-year initiative starting in 2026 to advance technology-supported, outcomes-based care for Medicare beneficiaries with chronic conditions, emphasizing performance-driven payments and regulatory compliance.
Cave Consulting Group partners with a multi-state Medicare ACO to implement a Specialist Golden Referral Network aimed at reducing elective procedure variation and improving care quality through specialist efficiency analytics.
Rising Medicare Advantage enrollment among dialysis patients following the 21st Century Cures Act presents new challenges in care coordination, provider access, and regulatory oversight, impacting insurers and policymakers.
Home health providers face challenges shifting from fee-for-service to value-based care due to payer demands and regulatory pressures. Innovative payment models and care delivery adaptations are key to success.
Skilled nursing and hospital readiness varies as the CMS-initiated TEAM bundled payment model launches in 2026, impacting post-acute care coordination, financial risk, and value-based contracting in U.S. healthcare.
Insights from the 2025 Payer + Provider Summit on AI-driven care, value-based models, community partnerships, and the need for stable federal policies to advance primary and preventive care.
Medicare Advantage plans are advancing outcomes by integrating clinical excellence, AI-driven engagement, health literacy, and community partnerships to support holistic member care.
Stellar Health's MSSP ACO surpasses Medicare average savings with $5M saved in 2024, leveraging tech-enabled micro-incentives to improve provider performance and patient outcomes in value-based care.
Special Needs Plans (SNPs) are driving significant growth in Medicare Advantage enrollment in 2025, with chronic condition and dual-eligible SNPs leading gains. Institutional SNPs decline amid evolving care models.
