MACRA

• What is MACRA (CMS)
• MACRA Congressional Request for Information (comments due October 31, 2022)
• MACRA resources by specialty (AMA)
• The (SGR) Fix Is In: How MACRA Short-Circuited Incentives for Joining Two-Sided Models (Health Affairs, 2021)
• MACRA made simple (Advisory Board, 2019)
• The Medicare Access and CHIP Reauthorization Act of 2015: Incentivizing Value Over Volume (HCTTF 2020)
• Approaches to MACRA implementation: Balancing MIPS and A-APMs (MedPAC 2017)

Episode Based Payments

• What are Bundled Payments? (NEJM Catalyst 2018)
• CMS Innovation Center Episode Payment Models (CMS 2020)
• Bundled Payments for Care Improvement Advanced (BPCI-A) Model Webpage (CMS)
• Comprehensive Care for Joint Replacement Model (CMS)
• Bundled Payments for Care Improvement (BPCI) (CMS)
• Bundled Payments for Care Improvement (BPCI) Initiative: Public Toolkit (CMS 2018)
• Predictors of Success in Bundled Payments for Care Improvement Program (J. Gen Intern Med 2021)
• How One Hospital has Succeeded in a World of Bundled Payments (Harvard Business Review 2021)
• Successes and Failures with Bundled Payments in the Commercial Market (AJMC 2020)
• Bundled Payments: Market Trends and Markers of Success (AHA 2019)

Medicare Shared Savings Program Accountable Care Organizations

• The Medicare Shared Savings Program Webpage (CMS)
• The ABCs of ACOs (Kaiser Health News)
• Medicare Shared Savings Program Accountable Care Organizations Updated Performance Year 2024 Financial and Quality Results (CMS 2025)
• MSSP Program Statutes and Regulations (CMS)

Long-term Enhanced ACO Design (LEAD) Model

• LEAD (Long-term Enhanced ACO Design) Model Webpage (CMS)
• LEAD Model Overview Resource (CMS 2025)
• LEAD Model Provider Value Factsheet (CMS 2025)

ACO REACH Model

• ACO REACH Model Webpage (CMS)
• ACO REACH Model PY 2026 Updates (CMS 2025)
• PY 2023 Evaluation Report (CMS 2025)
• ACO REACH participants (CMS)
• ACO Telehealth Report to Congress (CMS 2026)

Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model

• AHEAD Model Webpage (CMS)
• AHEAD Model Participant Resources (CMS)
• Primary Care AHEAD Fact Sheet (CMS)
• Overlaps Fact Sheet (CMS 2024)
• Frequently Asked Questions (CMS)
• Changes to AHEAD Model (CMS 2025)

Ambulatory Specialty Model (ASM)

• ASM (Ambulatory Specialty Model) Webpage (CMS)
• Frequently Asked Questions (CMS)
• Fact Sheet (CMS)
• ASM Mandatory Geographic Areas (CMS 2025)

Transforming Episode Accountability Model (TEAM)

• TEAM (Transforming Episode Accountability Model) Webpage (CMS)
• Frequently Asked Questions (CMS)
• Fact Sheet (CMS)
• TEAM Overview Slides (CMS 2025)
• Preliminary Target Prices PY1 (CMS)
• Participant List (XLSX) (CMS 2025)

Drug Pricing Models

• GENEROUS (GENErating cost Reductions fOr U.S. Medicaid) Model Webpage (CMS)
• GENEROUS Request for Applications (CMS 2025)
• GLOBE (Global Benchmark for Efficient Drug Pricing) Model Webpage (CMS)
• GLOBE NPRM (CMS 2025)
• GUARD (Guarding U.S. Medicare Against Rising Drug Costs) Model Webpage (CMS)
• GUARD NPRM (CMS 2025)

ACO PC Flex (ACO Primary Care Flex) Model

• ACO PC Flex Model Webpage (CMS)
• Frequently Asked Questions (CMS)
• Participant List (CMS)
• CY 2026 Rate Book (CMS 2025)

Oncology Care Models

• Oncology Care Model Webpage (CMS)
• Enhancing Oncology Model Webpage (CMS)
• EOM Cost and Performance Data (CMS 2025)
• EOM First Annual Evaluation (CMS 2025)
• Oncology Care Model Key Drivers and Change Package (CMS 2020)
• A patient-focused approach to oncology care, beneficiary resource (Medicare.gov)
• Reflections on the Oncology Care Model and Looking Ahead to the Enhancing Oncology Model (JCO Oncology Practice: An American Society of Clinical Oncology Journal)

Kidney Care Models

• Comprehensive ESRD Care Model Webpage (CMS)
• Case Study: Fresenius Kidney Care’s Home Dialysis Program (CMS 2020)
• Case Study: Atlantic Dialysis Management Services’ Patient Navigator Program (CMS 2019)
• Case Study: Centers for Dialysis Care’s Patient Advisory Committees (CMS 2019)
• Case Study: Rogosin Institute’s Initiative to Promote Health Literacy (CMS 2018)
• The Medicare CEC Model: Using Lessons Learned to Improve Value-based Kidney Care (Health Affairs 2022)
• ESRD Treatment Choices Model Webpage (CMS)
• Kidney Care Choices Model Webpage (CMS)
• KCC Frequently Asked Questions (CMS)
• KCC Fact Sheet (CMS)
• KCC PY2023 Summary of Findings (CMS 2025)

General Innovation Center and Value Resources

• CMS Innovation Center 2025 Strategy to Make America Healthy Again (CMS 2025)
• Three Ways CMMI Is Applying Evidence To Protect Patients, Providers And Taxpayers (Health Affairs 2025)
• Synthesis of Evaluation Results across 21 Medicare Models (CMS 2022)
• Building on the CMS Strategic Vision: Working Together for a Stronger Medicare (Health Affairs 2022)
• The Medicare Value-Based Care Strategy: Alignment, Growth and Equity (Health Affairs 2022)
• CMS Innovation Center at 10 Years – Progress and Lessons Learned (New England Journal of Medicine 2021)