Care Coordination & Management
Expert articles and analysis related to care coordination & management.
AI Summary — Last 24 Hours
Care coordination activity is centering on chronic-care infrastructure and administrative friction: big digital health vendors reportedly sat out Medicare’s ACCESS chronic care pilot, raising questions about whether CMS can attract scalable tech partners for high-need Medicare population management under the Trump administration’s CMS leadership. At the same time, Doximity’s AI integration into Aledade’s care platform signals continued private-sector investment in ACO enablement, while physicians remain deeply skeptical that insurer prior authorization pledges will reduce care delays—an operational headwind for risk-bearing groups trying to manage utilization and outcomes (STAT on ACCESS pilot, Healthcare Dive on prior auth survey). Medicaid reconciliation proposals also remain a major VBC risk: KFF estimates the One Big Beautiful Bill Act would reduce Medicaid enrollment by 10.3 million by 2034, including 1.3 million dual-eligible Medicare beneficiaries, potentially destabilizing care management economics for health systems, MA plans, and ACOs serving complex low-income populations.
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