Managing Editor
@ShahidNShah
@ShahidNShah
CMMI Payment Models Signal Broader Medicare Reimbursement Shifts
CMS’s Center for Medicare & Medicaid Innovation (CMMI) was busy during the last two months of 2025, announcing a number of new models designed to improve healthcare and keep costs in check. Some address specific priorities of President Donald Trump or HHS Secretary Robert F. Kennedy Jr.
Medigy Insights
CMMI announced new payment models in late 2025 targeting chronic disease (ACCESS, MAHA ELEVATE), drug pricing (GLOBE, GUARD, BALANCE), and accountable care (LEAD, replacing ACO REACH), with implications for hospitals, physicians, and ACOs. These models signal a broader shift toward mandatory episode-based payments, international drug pricing benchmarks, and technology-enabled chronic care in traditional Medicare.
Continue reading at hfma.org
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