Hospitals

LEAD gives MSSP ACOs and health systems with deep value-based care experience a way to serve High Needs beneficiaries on payment terms that align with their acuity and changing care needs. Its benchmarks, risk adjustment, and monthly capitation features respond to structural challenges that established organizations have encountered in other models, aiming to generate lower utilization and total cost of care for High Needs beneficiaries while improving outcomes.

The transition from hospital to post-acute care is one of the most under-engineered handoffs in American healthcare. Providers are navigating the convergence of clinical workforce shortages and rising patient acuity, which will only intensify as the population ages further. Momentum is building around technology-enabled solutions and payment reform that may help close the gap. In a piece for U.S. News & World Report, ATI Founder & CEO Anne Tumlinson identifies opportunities for hospitals to leverage new technologies and programs to improve the transition to post-acute care.

The Transforming Episode Accountability Model (TEAM) completes its first half-year of performance year one on July 1, 2026. For the 740-plus acute care hospitals required to participate, the model's upside-only period has provided an early look at episode-level performance data and a runway to prepare for mandatory downside risk beginning on January 1, 2027.

The recently released CY2027 Medicare Advantage and Part D (MAPD) Proposed Rule could meaningfully influence how plans serve dual-eligible individuals. While the rule spans a wide range of operational, quality, and benefit topics, several areas stand out for their potential impact on integration. ATI is unpacking the proposal and implications for plans, states, and other healthcare stakeholders.

On December 1st, CMS introduced the Advancing Chronic Care with Effective, Scalable solutions (ACCESS) Model, a voluntary 10-year model aimed at expanding access to new technology-enabled care for Medicare beneficiaries. The ACCESS model focuses on outcomes and creates opportunities for organizations that use technology and innovative approaches to support patients in preventing and managing chronic conditions to partner with traditional healthcare.

The Rural Health Transformation Program offers a rare window for states, providers, and community partners to redesign rural healthcare around sustainability, access, and innovation. Success will hinge on strong partnerships, measurable outcomes, and the creativity to think beyond existing systems.