Techy Surgeon · Policy Radar · public CMS data, refreshed as rules move

Working tools for the rules that move surgical revenue.

CJR-X exposure by hospital, the ASC market by metro with the operator that owns each center, industry payments by clinician, and who got into ACCESS. The maps and scores are free. The exposure modules are for Founding members.

The board

Four models, one calendar

Live · Jul 2026

ACCESS · MSK track

All-payer coverage of evidence-based services, ten-year model

The MSK track changes the referral front door. Applicants are choosing co-management partners in year one.

The 12 Days of ACCESS →
Mandatory · Jan 2026

TEAM

Episode accountability, 700+ hospitals, five surgical episodes

No opt-out and real downside. Post-acute spend is where most hospitals find their exposure.

The operator playbook →
Proposed · CMS-1849-P

CJR-X

Joint replacement, expanded; PY1 October 2027

Mandatory at 31+ LEJR episodes, 90-day bundles, 2% discount, 29 risk adjusters. The Engine prices it hospital by hospital.

Open the Engine →
Final · PY 2027

ASM

Ambulatory Specialty Model, heart failure and low back pain

Two-sided adjustments for specialists, 9% rising to 12%. 6,637 clinicians on the CY2027 list.

Participant map →
The analytical engines

Five tools, one sign-in

Each one is built from public CMS files and kept current as the rules change. Free tools open directly. Founding member tools use the Clubhouse sign-in.

Founding members

The CJR-X Engine

Per-hospital workbench for the mandatory bundle: estimated CQS tier and quality-adjusted discount, stop-loss corridor, regional targets, PRO-PM penalty modeling. 2,663 hospitals, ten CMS files.

2,663
hospitals
0–100
opportunity score
Sign in and open →Free explainer inside
Free

The Open Payments Atlas

Every disclosed industry payment to every U.S. clinician, 2019–2025: profiles across 59 specialties, company ledgers, dot maps, and plain-English questions answered with a chart, a table and the SQL.

$17.08B
disclosed
1.67M
clinicians
Founding members

The ACCESS Model Explorer

Every accepted applicant in CMS's ACCESS Model, mapped and profiled across the eCKM, CKM, MSK and BH tracks, with the HQ view for market scans.

4
clinical tracks
HQ
market view
Sign in and open →Roster refreshed as CMS updates it
Founding members

ASM Financial Exposure

Provider- and organization-level exposure across the 9% to 12% adjustment ramp, by cohort, state, specialty and practice size.

PY27–31
adjustment years
2
cohorts
Founding member · $390/yr

The Radar is the Founding tier

The CJR-X Engine, the ASC Market Map Pro modules, the ACCESS Explorer and the ASM dashboard, plus the Doctor's AI Course before anyone else. Standard membership ($150) keeps the essays, the Skills Shelf and the interactive editions.

Reference data

The ASM participant list, live from CMS

Map of 6,637 CY2027 participants by state, and a clinician lookup against the CMS API

Open ↓

Each dot is a state's participant count from the CMS list aggregated July 5, 2026. Toggle cohorts, then look up any clinician; results query data.cms.gov directly.

Results come from data.cms.gov as you search.
The playbook shelf

Reading that pairs with the tools

Techy Surgeon ASC Market MapCJR-X EngineOpen Payments AtlasACCESS ExplorerASM dashboard MembersStreamWorldsHome Become a Founding member