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Value-Based Contracting

Expert articles and analysis related to value-based contracting.

200 articlesLast 30 Days

AI Summary — Last 30 Days

CMS is pushing value-based contracting toward technology-enabled specialty and chronic-condition management: the ACCESS model is slated to expand in 2027 to COPD, substance use disorder, and tobacco cessation, while agency officials are also signaling interest in broader cross-payer alignment—raising the stakes for providers’ data, care management, and outcomes infrastructure (Healthcare Dive). At the same time, major provider and VBC coalitions are using the CY 2027 Physician Fee Schedule/MSSP comment cycle to press CMS for stronger accountable care incentives, lower administrative burden, better interoperability, and primary care investment, reflecting a sector-wide push to make MSSP and adjacent models more scalable rather than simply adding new demonstrations (Premier). The large Medicare Advantage risk-adjustment settlement involving The Villages Health System adds a sharper compliance backdrop: VBC organizations and MA-aligned providers face growing pressure to prove that coding, documentation, and population health activities translate into legitimate clinical accountability, not just revenue optimization.

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