Care Coordination & Referrals
Expert articles and analysis related to care coordination & referrals.
AI Summary — Last 7 Days
Care coordination moved further into specialist and post-acute execution this week: CJR-X implementation guidance is emphasizing formal governance for hospitals, conveners, surgeons, SNFs, and home health partners, while Innovaccer’s CARA framing positions LEAD as a mechanism to bring specialists into accountable care rather than leaving ACOs dependent on primary-care-only referral influence. At the same time, NAACOS pointed to ACO REACH savings and care-delivery gains as evidence that high-needs Medicare models can work, but scrutiny of CMS’ ACCESS behavioral health model shows the operational tension—referral networks and whole-person care are central to VBC, yet participants are questioning whether payment economics support the coordination burden. The near-term signal for ACOs, MA plans, and provider enablement firms is clear: VBC growth is shifting from attribution and analytics toward durable referral governance, specialist alignment, and financially viable cross-continuum operating models (CJR-X governance; [ACO REACH savings statement](https://news.google.com/rss/articles/CBMi3wFBVV95cUxQd0NKdjlDdWJ1YmExcmZac25FMXVBNnQtQ0FPYjM2VzQtTUFwR1J4ZndYaEFRRUZQQTBjTjdh
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