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The Centers for Medicare and Medicaid Services has announced two initiatives set to launch in July 2024 that could help move the needle away from fee-for-service payments. One focuses on supporting family caregivers of dementia patients to forestall their admission to a nursing home and the considerable costs that accompany that decision. Another makes it easier for small primary care practices with no prior experience to pursue bundled payment plans over a 10-year period. Both are ambitious pilot programs which could have a significant impact on healthcare delivery.