Published 5/29/2025
Earlier this month, Abe Sutton, director of the Center for Medicare and Medicaid Innovation (CMMI), announced the Trump administration’s new vision for the center. CMMI’s work will now center on three pillars:
- Promote evidence-based prevention, including nutrition and health counseling, early disease detection through screenings, and comprehensive disease management after diagnosis. All existing and new CMMI models will be updated with financial incentives for providers and beneficiaries to access and uptake primary, secondary, and tertiary prevention.
- Empower individuals to achieve their health goals by leveraging technology to improve access to meaningful data, encouraging patient-centered care through payment arrangements with two-sided risk, and implementing predictable cost-sharing for patients and structural reform to drug pricing.
Drive costs and competition by incentivizing independent practices, community health centers, rural providers, and provider-led accountable care organizations to participate in value-based care models, reducing the administrative burdens associated with advanced alternative payment models and including site-neutral payment reforms in models.- Underlying every pillar of this new plan, CMMI will protect the federal taxpayer by requiring all alternative payment models to include downside risk; requiring providers to carry risk, not just conveners; simplifying benchmarking methodologies; and prioritizing high-value care while reducing unnecessary utilization.
AAOS remains committed to supporting physician-led value-based care models to improve musculoskeletal healthcare. It will continue to engage with CMMI as the organization reforms existing models and introduces new models.