CMS introduces the ACCESS Model, a 10-year test of outcome-aligned payments to enhance technology-supported chronic disease management for Medicare fee-for-service beneficiaries.

Study finds hospital involvement in Medicare ACOs does not significantly change emergency department admission rates, length of stay, or costs, suggesting current ACO models have limited impact on acute care spending.

The One Big Beautiful Bill Act (OBBBA) establishes statutory caps on state-directed payments in Medicaid managed care, centralizing federal control and impacting value-based payment reforms. CMS expected to issue guidance on implementation.