Modern Healthcare: What to Know About AHEAD, CMS’ Revamped All-Payer Model

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The Centers for Medicare and Medicaid Services has revamped and extended a hospital and primary care value-based care model intended to align payment incentives across payers and providers.

CMS announced it is expanding and modifying the Achieving Healthcare Efficiency through Accountable Design, or AHEAD, model it unveiled in 2023, and adding new geography-based elements that could shake up how fee-for-service Medicare enrollees receive care.

Primary Care Collaborative CEO Ann Greiner said AHEAD could help align financial incentives between hospitals and primary care providers, thereby addressing patient needs sooner and preventing hospitalizations.

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