Free preview · the full Radar lives in the Clubhouse

Every model. One board. The operator's read.

The live surveillance layer behind the essays: what CMS shipped, what's mandated, what's proposed, and the working tools that turn each rule into a position. Built from public CMS data, refreshed as rules move.

The Board

Four models in motion.

Live · July 2026

ACCESS · MSK track

All-payer coverage of evidence-based services · 10-year model

Live this month. The MSK track rewires the referral front door; the winners are picking their co-management partners now, not at year one.

10 yr
model horizon
12
decode essays
The 12 Days of ACCESS →
Mandatory · July 2026

TEAM

Transforming Episode Accountability · 700+ hospitals

Five surgical episodes, no opt-out, real downside. The post-acute leak is where most participating hospitals will discover their exposure.

5
episode types
700+
hospitals in
The operator playbook →
Proposed · CMS-1849-P

CJR-X

Joint replacement, expanded · anticipated PY1 Oct 2027

Mandatory for hospitals at ≥31 LEJR episodes, 90-day bundles, 2% discount, 29 risk adjusters. The Engine below prices your exposure hospital by hospital.

2,663
hospitals analyzed
2%
discount factor
Open the Engine ↓
Finalized · PY 2027

ASM

Ambulatory Specialty Model · heart failure + low back pain

MIPS-style two-sided adjustments for specialists, ramping 9% toward 12% across performance years. 6,637 clinicians on the CY2027 participant list — mapped live below.

6,637
CY27 participants
±9→12%
adjustment ramp
See the map ↓
Behind the gold line

The working Radar is a members' room.

The boards above are the public read. Members step inside to the live instruments:

Members

The live ASM map

All 6,637 CY2027 participants mapped by state and cohort, with a clinician lookup running on the CMS API as you type.

Members

The CJR-X Engine

2,663 hospitals of opportunity and risk — LEJR exposure, readmission risk, PRO-PM penalties — queryable in your browser.

Members

ASM Financial Exposure

Provider and organization scorecards across the 9%→12% adjustment ramp.

Members

The Playbook Shelf

Take-home briefs: LEAD in 15 points, the ACCESS series, TEAM for the 700, the CJR-X comment-window brief.

Techy Surgeon Home Stream Worlds Policy Skills Work with me The Course Sign in Subscribe