Forbes December 29, 2025
Our deeply fragmented health system is especially dangerous for older adults, younger people with disabilities, and their families. In an effort to improve their care, the federal Centers for Medicare and Medicaid Services is rolling out several experimental payment models aimed at better coordinating care and, perhaps, saving Medicare money.
The demonstrations, described by a growing cacophony of acronyms, work in two ways: They compensate providers such as doctors and hospitals based on quality rather than volume of care, and they engage and assist family members in the care of their loved ones.
These changes are ambitious and will require major changes in the way doctors, hospital and nursing home administrators, and patients think about care. And because they are...
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