3 / 30 / 2026
By Crystal Nguyen & Amanda Brewer
Introduction On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule outlining policy and technical updates for Contract Year 2027 across the Medicare Advantage...
3 / 25 / 2026
By Amanda Brewer & Michelle Henry
The Centers for Medicare & Medicaid Services (CMS), through the CMS Innovation Center, has introduced the ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model as a decisive shift in how...
3 / 18 / 2026
By Jennifer Methax & William Cevallos
Effect on Risk Adjustment The new Long-term Enhanced Accountable Care Organization Design Model (LEAD) will launch January 1, 2027, and will replace the current ACO REACH Model. These new standards...
3 / 11 / 2026
By Michelle Henry
While 2026 is barely underway, focus is already shifting to January 1, 2027, when the new Ambulatory Specialty Model (ASM) will take effect. The new model is designed to assess...
3 / 4 / 2026
By John Ossowski & Andrew Arreola
Introduction Under the Transforming Episode Accountability Model (TEAM), the cost of implants and instrumentation is included in a single, bundled payment for a surgical episode. There is no separate reimbursement...
2 / 4 / 2026
By Christopher Fete & Jim Yanci
Article originally published through the American Association of Provider Compensation Professionals (AAPCP). Introduction There is a classic riddle that applies to change. A lily pad appears in a pond one day....
1 / 29 / 2026
By Daniela Yusufbekova
Introduction The Centers of Medicare & Medicaid Services’ (CMS) new Long-term Enhanced ACO Design (LEAD) Model marks a clear inflection point in Medicare accountable care. More than a successor to...
12 / 17 / 2025
By Lucas Hutchison & Jason Baldwin
CMS Fee Schedule Changes for 2026 Centers for Medicare and Medicaid Services (CMS) has finalized the physician fee schedule (PFS) and dealt a significant reimbursement blow to inpatient physician reimbursement....
11 / 7 / 2025
By Kelly Loya & Carey Lowe-Curry
Article originally published through the American Association of Provider Compensation Professionals (AAPCP). Introduction Healthcare practices increasingly employ teams of non-physician practitioners (NPPs) (such as nurse practitioners, physician assistants) to extend...
10 / 7 / 2025
By Mike Vandaveer
Healthcare Real Estate Transactions Parkview Health to Build 30-bed Hospital in Lebanon, IN. Parkview Health announced plans to build a full-service hospital and medical office building in Lebanon. The facility is...
