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CMS Model Navigator

Six active CMS value-based care models — timelines, deadlines, and required actions for 2026–2028. Filter by your role and state.

Dr. Manan Vyas
Dr. Manan Vyas·Interactive Tool
medicarevalue-based-care

Preventive Care in the Modern Era - Chapter 2: Advanced Primary Care Management

APCM removes time-tracking requirements while expanding care management to all Medicare beneficiaries. Learn the tier structure, revenue model, and implementation workflow for this transformative 2025 billing code.

Dr. Manan Vyas
Dr. Manan Vyas·2026-02-19·24 min read
medicarevalue-based-care

CMS Just Dropped the CY 2027 Medicare Advantage Advance Notice. Here's What It Means for Providers.

CMS proposed a 0.09% MA payment increase for 2027, but the real story sits underneath that number. Explore the V28 risk model updates, chart review policy changes, and Star Ratings reforms that will reshape MA contracts.

Dr. Manan Vyas
Dr. Manan Vyas·2026-02-12·18 min read
medicarevalue-based-care

Preventive Care in the Modern Era - Chapter 1: The Annual Wellness Visit

The AWV generates a written blueprint for the next decade of a patient's health. Explore how practices can systematically execute prevention plans with measurable outcomes at every stage.

Dr. Manan Vyas
Dr. Manan Vyas·2026-02-12·28 min read

The Annual Wellness Visit. It's Not a Visit. It's a Trigger.

What breaks when nothing happens after the note is signed.

Dr. Manan Vyas
Dr. Manan Vyas·2026-02-04·15 min read

CMS Unveils LEAD: The Future of Accountable Care Has a 10-Year Horizon

Understanding the Long-term Enhanced ACO Design Model and how it transforms value-based care with a decade-long commitment, no benchmark rebasing, and new mechanisms for specialty care management.

Dr. Manan Vyas
Dr. Manan Vyas·2025-12-18·8 min read

CMS's December 2025 MUC Release: A Practical Guide to What Matters and Who It Impacts

A breakdown of the 24 measures in CMS's December 2025 Measures Under Consideration list, with practical guidance on what to optimize for primary care, hospitals, and value-based care organizations.

Dr. Manan Vyas
Dr. Manan Vyas·2025-12-17·8 min read

Why Most Healthcare AI Companies Are Building for a Dying Business Model

Comparing business models for FFS companies vs VBC companies

Ankit Gordhandas
Ankit Gordhandas·2025-12-05·15 min read

ACCESS Is Here: What CMS's New Chronic Care Model Means For Value Based Care

Understanding the ACCESS Model—CMS's 10-year national test introducing Outcome Aligned Payments for chronic care management in Original Medicare.

Dr. Manan Vyas
Dr. Manan Vyas·2025-12-01·13 min read

Inside the Value-Based Care Ecosystem: How the Models Actually Work

Understanding Medicare Shared Savings, ACO REACH, Medicare Advantage, and commercial VBC—the mechanisms, the money flows, and why each model exists.

Ankit Gordhandas
Ankit Gordhandas·2025-11-18·12 min read

The Healthcare Business Model That Will Define the Next Decade

The $4.5 trillion healthcare industry is restructuring itself from paying for procedures to paying for outcomes, and understanding this shift from fee-for-service to value-based care will determine whether your healthcare technology becomes essential infrastructure or gets left behind.

Ankit Gordhandas
Ankit Gordhandas·2025-11-07·10 min read
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The $100 Billion Problem Hiding in Plain Sight

Care gaps represent a $100B+ opportunity in value-based care. Explore interactive visualizations showing how closing gaps improves outcomes, reduces costs, and drives Star Ratings.

Ankit Gordhandas
Ankit Gordhandas·20 min read

Advanced Primary Care Management (APCM): The Complete Guide for Modern Healthcare Providers

Introducing Pear's AI Voice Agent platform for streamlined healthcare communication and practice management

Dr. Manan Vyas
Dr. Manan Vyas·2024-01-18·10 min read

Welcome to Pear: Revolutionizing Healthcare Communication

Introducing Pear's AI Voice Agent platform for streamlined healthcare communication and practice management

Dr. Manan Vyas
Dr. Manan Vyas·2024-01-06·1 min read