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Why the CMS CY 2027 Advance Notice Matters More Than the Headline Rate CMS released the CY 2027 Advance Notice with a headline number that immediately drew attention for the wrong reason. A net average payment increase of 0.09 percent is being described as flat, disappointing, or politically cautious. That framing understates what is actually happening. The CMS CY 2027 Advance Notice is not primarily about rate setting. It is about enforcement through economics. CMS is signal

Over the past year, CMS has delivered one of the clearest directional signals in decades about the future of care delivery. Through ACCESS, LEAD, MAHA ELEVATE, the elevation of Advance Care Planning, expanded interoperability expectations, and AI-enabled utilization management pilots, CMS has defined a new operating baseline. What CMS has not done is publish a list of penalties. That omission is intentional. Historically, CMS does not begin transformation by issuing enforceme

Over the past year, CMS has sent an increasingly consistent signal about the future of care delivery. Through ACCESS, LEAD, MAHA ELEVATE, interoperability mandates, and AI-enabled utilization pilots, CMS has been clear about its direction, even as details remain fluid. Yet one of the most critical signals CMS has issued recently is being widely misunderstood. The 2025 CMS Measures Under Consideration (MUC) list is being treated in many organizations as a technical appendix.

In 2026, healthcare leaders will not be asking whether coordination matters. That question has already been answered. The more relevant question is whether existing operating models can support the level of coordination that CMS, payers, and patients are beginning to assume as a baseline. Over the past several years, virtual care, analytics, and automation moved from pilot projects into routine use. What changes in 2026 is not adoption, but expectation. Longitudinal accountab

Over the weeks since CMS released its most cohesive signal yet about the future of care delivery, the industry response has been revealing. Executives, clinicians, and policy observers broadly agree on the direction. Longitudinal accountability. Team-based care. Integration of behavioral, social, and lifestyle drivers. Data liquidity as a baseline expectation. Where the conversation has sharpened is around execution. At its core, this moment is a test of CMS care coordination

CMS 2025 Measures Under Consideration Advance Care Planning Is a Signal, Not a Draft Each year, the Centers for Medicare & Medicaid Services releases its Measures Under Consideration list, a document that many organizations still treat as a technical preview meant primarily for quality teams. That interpretation is increasingly dangerous. This analysis of CMS 2025 Measures Under Consideration Advance Care Planning explains why advance care planning is being positioned as core