CMS finalizes 2.3% hospital pay bump, mandatory joint replacement model: 9 things to know

August 3, 2026Garrett Schmittbehavioral heath services, mental health

CMS on July 31 finalized its Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System rule for fiscal 2027, setting a 2.3% payment increase for acute care and long-term care hospitals and locking in the first mandatory, nationwide episode-based payment model for joint replacements. “Knee, hip, and ankle replacements are important for helping seniors preserve their mobility and…

Hospitals embrace sprawling primary care: What to know

May 18, 2026Garrett Schmittbehavioral heath services, mental health

A growing emphasis to meet patients where they’re at has led health systems and hospitals to take primary care out of its traditional setting. “We can’t expect people to alter their lives to fit into our schedule. We need to alter our schedule to fit into their lives,” MetroHealth President and CEO Christine Alexander-Rager, MD,…

How health systems are tackling behavioral health fragmentation

February 23, 2026Garrett Schmittbehavioral heath services, mental health

Health systems are responding to fragmented behavioral healthcare delivery in different ways: expanding telepsychiatry in rural states, building pediatric health hubs that integrate mental and physical health on one campus, launching behavioral health urgent cares, and investing in navigators and data infrastructure to keep patients connected after discharge. In West Virginia, the access challenge is…

New ACO Playbook: Seven Keys To Expanding ACO Savings—And Market Share

October 6, 2021Garrett SchmittNo CommentsACO, ACO savings, ACOs, behavioral heath services, chronic disease, cost drivers, cost variations, market share, patient episode analytics, patient outcomes, Population Health, Risk, savings, specialty care models, treatments

At the beginning of this series, we laid out a basic tenet: As shared savings plan ACOs, you need to do as well or better at lowering costs than competing value-based payment models. Otherwise, your resources and support will dwindle in favor of more promising avenues to control Medicare spending, and competition will stifle your…

 
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