3 / 18 / 2026
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
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
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 / 9 / 2026
White Paper | Series 1: Foundations of Value-Based Performance Purpose of This White Paper The purpose of this white paper is to highlight why Accountable Care Organization (ACO) network management...
2 / 4 / 2026
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
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...
1 / 14 / 2026
Over the past two years, ICD-10-CM has introduced several important code updates and additions related to diabetes. In fiscal year (FY) 2025 (effective October 1, 2024), new codes were established...
12 / 17 / 2025
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
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
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...