Avicenna Medical Blog

Care Management Weekly News Update 3/26/26

Posted by DeAnn Dennis on Thu, Mar 26, 2026 @ 11:45 AM

In a recent letter to the Centers for Medicaid & Medicare Services, the National Association of ACOs (NAACOS) made several recommendations for how CMS could bring more innovation to the Medicare Shared Savings Program (MSSP).  Key highlights include implementing capitation to provide ACOs with steady cash flow, enabling earlier investments in care management.
NAACOS also said current quality reporting requirements are burdensome due to interoperability challenges; moving toward digital quality measures could streamline processes.

The Federal Trade Commission (FTC) is launching a Healthcare Task Force to better focus its enforcement and advocacy on issues of competition and consumer protection within the industry.  The effort falls within the FTC’s dual mandate of protecting Americans from unfair or deceptive practices and unfair methods of competition.  The Healthcare Task Force’s launch is an initial step toward the administration’s goals of creating a more competitive, innovative, affordable and higher quality healthcare system, in response to a February 2025 executive order primarily focused on price transparency policy. 

Among the recommendations of a value-based care task force of the American Medical Group Association (AMGA) is that CMS should establish a total-cost-of-care model for end-of-life care. The value-based care task force noted that “the current landscape of end-of-life care is influenced by Medicare Hospice Benefit’s per diem reimbursement and six-month prognosis criteria, which is based on hospice’s traditional focus on cancer patients. This focus, however, is shifting due to changing patient demographics, as hospice patients are increasingly diagnosed with non-cancer conditions,” the AMGA report says, encouraging CMS to develop a comprehensive framework that encompasses all aspects of care delivery and reimbursement to address the holistic needs of patients.

AI Won’t Replace Clinical Trial Teams, But It Fixes the Bottlenecks That Keep Patients Out

Clinical trials don’t fail because patients aren’t willing to participate. They fail because we never find most of the people who could. Despite decades of investment in recruitment vendors, site networks, and outreach programs, enrollment remains one of the most persistent bottlenecks in clinical research. Timelines stretch. Protocols stall. Entire studies are delayed or redesigned, not because the science is wrong, but because the right patients were never identified in the first place.  This is a workflow problem that AI is positioned to fix. Modern AI systems can analyze large volumes of unstructured clinical data far faster than any human team, flagging potential eligibility patterns that would otherwise go unnoticed.

Tags: Weekly Industry News