Published by APM Connect on 11/9/2026 CJR-X does not begin until 2028, and hospitals keep asking the same question: how are we going to do in a model we have no data for yet? Session 3 of the Downside Risk Bootcamp answered it the only way it can be answered, by running national Medicare fee-for-service claims from 2023 through 2025 against the CJR-X rules and seeing what comes out. The session walked the national picture first, then took one blinded hospital apart line by li

Published by APM Connect on 11/9/2026 Sarah Chuzi, MD, MSc; Karen Joynt Maddox, MD, MPH; Tara Lagu, MD, MPH. JAMA Viewpoint, published online November 2, 2026. Heart failure (HF) is one of the most evidence-rich areas of cardiovascular medicine, yet a persistent gap separates proven therapies from the care patients actually receive. In this JAMA Viewpoint, the authors argue that closing that gap requires more than changing clinician behavior. It requires infrastructure such a

Published by APM Connect | 10/7/2026 ASM CMS Office Hours clarified portal onboarding, participant responsibilities, reporting requirements, and unresolved policy questions for the 2027 model start. Portal Onboarding ASM-selected physicians must register individually through the CMS Enterprise Portal to confirm contact information, complete required onboarding activities, and gain access to the data, tools, and resources needed to succeed in the model. Registration should oc

CMS has finalized the Ambulatory Specialty Model (ASM)—a mandatory, condition‑focused value‑based care initiative designed to transform specialist care for Original Medicare beneficiaries. Launching on January 1, 2027, and running through December 31, 2031, ASM targets outpatient specialists treating heart failure and low back pain.