Healthcare DIVE September 4, 2025
Rebecca Pifer

The model will now run for one additional year and require providers to assume more downside risk.

Dive Brief:

  • The CMS is tweaking a Medicare experiment helping states implement an all-payer model to make cost of care targets more achievable, regulators announced on Tuesday.
  • The Achieving Healthcare Efficiency through Accountable Design, or AHEAD, model launched in 2023 to put states on the hook for the health of their population by managing healthcare quality and costs across all payers.
  • Now, the CMS is extending model’s run date and putting more of an onus on states to focus on preventive care and promoting competition in their healthcare markets, regulators said.

Dive Insight:

AHEAD, which builds on existing all-payer models in...

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Topics: CMS, Govt Agencies, Insurance, Medicaid, Payer, Provider, States
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