News & Analysis as of

Accountable Care Organizations Medicare Part B Alternative Payment Models (APM)

Bass, Berry & Sims PLC

Taking the LEAD: CMS Unveils the New LEAD Model, Focused on Long-Term Primary Care Success

Bass, Berry & Sims PLC on

On December 18, 2025, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced the Long-term Enhanced ACO Design (LEAD) Model, a voluntary accountable care organization (ACO) initiative set to launch...more

Bass, Berry & Sims PLC

CMS Announces Model for Technology-Assisted Chronic Condition Management

Bass, Berry & Sims PLC on

On December 1, the Centers for Medicare & Medicaid Services (CMS) announced the Advancing Chronic Care with Effective, Scalable Solutions Model (ACCESS), a 10-year voluntary alternative payment model (APM) that will pay...more

McDermott+

ACCESS + TEMPO: The 2-door entryway to faster digital health innovation in traditional Medicare

McDermott+ on

Harnessing new digital technologies to treat chronic conditions and improve health outcomes.” If you think this sounds like a goal that directly aligns with one of the administration’s top priorities, making America healthy...more

Sheppard

CMS Finalizes Mandatory Ambulatory Specialty Model for Cardiology and Low-Back Pain

Sheppard on

The Centers for Medicare & Medicaid Services (“CMS”) recently finalized a rule establishing the new Ambulatory Specialty Model (“ASM”)— a mandatory value-based payment model that could apply to nearly one-quarter of all...more

Benesch

CMS’s CY 2026 Fee Schedule Proposal: MSSP Reforms Take Center Stage in Push Toward Value

Benesch on

On July 14, 2025, the Centers for Medicare & Medicaid Services (“CMS”) released the proposed rule for the Calendar Year (“CY”) 2026 Medicare Physician Fee Schedule (“PFS”), formally titled CMS-1832-P....more

Polsinelli

Making Sense of the MACRA Final Rule, Part 1 of 3: Essential Concepts

Polsinelli on

On Oct. 14, the Centers for Medicare & Medicaid Services (CMS) published a final rule with comment period implementing the bipartisan Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The nearly 2,400 pages of...more

Sheppard

The MACRA Final Rule: The Art of the Transition

Sheppard on

On Friday, October 14, 2016, CMS released the much-anticipated final rule (the “Final Rule”) implementing the Quality Payment Program (QPP), mandated by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). ...more

King & Spalding

CMS Says MACRA Implementation Will Begin on January 1, 2017 but Physicians Can “Pick Their Pace of Participation”

King & Spalding on

On September 8, 2016, CMS announced in a blogpost that new physician payment model reforms, established in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), will begin implementation on January 1, 2017, as...more

Jackson Walker

MACRA will change the way you practice

Jackson Walker on

A recent rule proposed by the Centers for Medicare and Medicaid Services (CMS) will bring far-reaching changes to payment models for physicians and other clinicians (including nurse practitioners, physician assistants,...more

McCarter & English, LLP

Health Law Insights Newsletter - Issue 9 - May 2016

NATIONAL - Medicare Proposes New Part B Payment System - The Center for Medicare and Medicaid Services (CMS) on April 27 proposed a new rule that would transform Medicare Part B reimbursement to practitioners into...more

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