5 plans of attack: How payers can succeed facing new CMS rules in 2025 – and beyond

5 plans of attack: How payers can succeed facing new CMS rules in 2025 – and beyond

Some of the Centers for Medicare and Medicaid Services (CMS) changes represent a paradigm shift away from tradition, including new caps on out-of-pocket spend and sweeping health equity mandates. The good news is, these changes broaden opportunity for health plans, providers and patients alike – especially those who proactively embrace the shift toward preventative, value-based care.