What’s new: CMS invites organizations committed to supporting people to build healthier lives with evidence-based, whole-person functional or lifestyle medicine interventions to apply for the MAHA ELEVATE Model; CMS will award up to thirty 3-year cooperative agreements up to a combined total of $100 million to implement programs that enhance conventional health care.
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The data submission period for PY 2025 of the Quality Payment Program is open. Data can be submitted and updated until March 31, 2026, at 8:00 p.m. ET. ACOs should review their quality data for completeness and accuracy by the deadline; data cannot be updated or corrected after the submission period has closed.
By Kishore Pendyala – Compliance by design has emerged as a defining advantage for AI‑driven healthcare IT startups, reshaping how they earn trust and compete in a rapidly shifting regulatory landscape. As CMS and ONC continue to refine expectations around data privacy, interoperability, algorithmic transparency, and patient rights, startups that embed…
By Lee-Ann Ruf – When the Centers for Medicare & Medicaid Services launched its Transforming Episode Accountability Model (TEAM) initiative in January 2026, more than 700 hospitals across the country took another significant step toward enacting value-based care.
CommonWell’s work over the past year reflects its continued leadership, network investment, and commitment to member readiness for Trusted Exchange Framework and Common Agreement™ (TEFCA™) participation and support of the CMS Interoperability Framework.
By Julie Appleby – Subsidies. Love ’em or hate them, they dominated the news during the Affordable Care Act’s sign-up season, and their reduction is now hitting many enrollees in the pocketbook. While lawmakers continue to disagree on a way forward, and the politics of affordability keeps the issue front and center, it would be understandable to…
The Centers for Medicare & Medicaid Services proposed regulations to lower health care costs, promote competition, and strengthen program integrity in the Federal and State-Based Health Insurance (Exchanges).
By William Charnetski JD – This is the time when healthcare leaders dust off their crystal balls and make predictions for the new year. These often miss the mark for myriad reasons, including the complexity of healthcare and the inevitable emergence of unforeseen factors and developments.
CMS continues to bring accountable care to more people with Medicare in 2026, expanding the benefits of high-quality, whole-person health care to achieve better health outcomes for millions of older Americans.