HCTTF July 31, 2025

HCTTF developed recommendations for the Center for Medicare & Medicaid Innovation (CMMI) to integrate specialty care into alternative care models. This issue brief summarizes current CMMI models that include specialists, shares insights from private-sector specialty arrangements, and recommends opportunities for CMMI to expand these offerings, including:

  1. Total Cost of Care Models: Refine existing longitudinal total cost of care arrangements for nephrology and oncology, and launch a voluntary model for congestive heart failure.
  2. Sub-capitation Arrangements for Accountable Care...

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