Care Coordination & Management
Expert articles and analysis related to care coordination & management.
AI Summary — Last 7 Days
CMS’s care-management agenda is increasingly tying technology-enabled coordination to downside-risk readiness: ACCESS and TEMPO are being framed as Medicare pathways for chronic-disease management, cardiology integration, and tech-enabled longitudinal care, while payer/provider alignment is shifting toward shared quality measurement, data infrastructure, and AI-enabled workflows rather than standalone digital tools. At the same time, CMS’s proposed nationwide expansion/redesign of the Comprehensive Care for Joint Replacement model signals renewed pressure toward mandatory episode-based VBC, creating operational urgency for hospitals, specialists, SNFs, and ACOs to tighten post-acute networks and care transitions—especially as nursing homes are being urged to align with ACOs to capture “spillover” benefits from accountable care expansion. The main tension for executives is whether technology vendors, provider groups, and payers can translate reimbursement opportunities into measurable coordination gains fast enough to succeed under Medicare’s expanding risk-based models, particularly as some large digital health players appear cautious about participating in ACCESS (ACCESS chronic care pilot; CJR expansion proposal).
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