Payment Models: CMS Continues To Focus On Quality And Savings

Why This Topic Matters

These CMS models may affect how providers organize care, coordinate across settings, and participate in Medicare payment initiatives. The article is relevant to organizations tracking federal value-based care policy, primary care reform, and behavioral health integration.

Article Sections

1. Whole-person care is at the center of the IBH Model

   Discusses CMS’s Innovation in Behavioral Health model, the organizations expected to participate, and the broader policy goals related to integrating physical and behavioral health care.

2. Competition and quality center around the new ACO PC Flex Model

   Summarizes CMS’s new primary care-focused ACO model, including its relationship to the Medicare Shared Savings Program and the providers it is intended to reach.

3. CMS proposes TEAM to bolster collaboration and equity

   Covers CMS’s proposed episode-based payment model for hospital care, its placement within a federal payment rulemaking cycle, and the policy themes associated with care coordination and collaboration.