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Expert perspectives and actionable insights to support success in episode-based and bundled payment programs.
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~130 Days from ASM Starting, do you know what's in your cost measure?
Published on APM Connect | August 2026 CMS has not yet posted the final list of clinicians who will be in the Ambulatory Specialty Model on January 1, 2027, 133 days from now, the ASM Participants data site still holds only the February preliminary file. But the two cost measures the model runs on are not a mystery, and they are not new. ASM's cost category uses the existing MIPS episode-based cost measures for heart failure and low back pain, and the 2026 performance-period

APMConnect
Aug 21


Everything You Need to Know About CJR-X — The Mandatory Joint Replacement Model Coming in 2028
Published on APM Connect | August 2026 If you run an acute care hospital that performs hip and knee replacements, you need to know about CJR-X. Starting January 1, 2028, virtually every eligible acute care hospital in the country will be required to participate in a new bundled payment model for lower extremity joint replacement with immediate downside risk. This is not a voluntary pilot. It is not limited to select geographies. It is a mandatory, national, permanent program

APMConnect
Aug 12


CMS Proposes Significant Overhaul of the Medicare Shared Savings Program in the CY 2027 Physician Fee Schedule
Published on APM Connect | August 2026 The CY 2027 Medicare Physician Fee Schedule Proposed Rule, released July 16, 2026, includes some of the most consequential proposed modifications to the Medicare Shared Savings Program (MSSP) in recent years. While some changes take effect as early as January 2027, others (particularly the benchmark recalibration) will reshape the financial landscape for ACOs into the next decade. Taken together, the proposals reflect CMS's intent to s

APMConnect
Aug 11


TEAM Regulations, Decoded: Your Quick-Reference Guide
Get a quick handle on the TEAM Mandate regs—what’s required, who’s in, and how to stay compliant. Download the guide.

APMConnect
Apr 1, 2025
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