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Population Health Management

Expert articles and analysis related to population health management.

50 articlesLast 24 Hours

AI Summary — Last 24 Hours

CMS is expanding the ACCESS Model to additional chronic conditions, signaling the Trump administration’s CMMI agenda is leaning further into population-level specialty and primary care management while testing broader cross-payer alignment across Medicare and Medicaid—an immediate strategic issue for ACOs, Medicaid plans, and provider groups managing multi-condition cohorts (Fierce Healthcare). At the same time, SCAN Health Plan’s Walmart Medicare Advantage partnership and NCQA’s 2026 Health Plan Ratings reinforce that MA plans are competing on retail-enabled access, quality performance, and member experience, while new survey data showing 83% of plans missing VBC outcomes due to fragmented data underscores a persistent execution gap in risk stratification, care coordination, and performance management.

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