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.
Live this month. The MSK track rewires the referral front door; the winners are picking their co-management partners now, not at year one.
Five surgical episodes, no opt-out, real downside. The post-acute leak is where most participating hospitals will discover their exposure.
Mandatory for hospitals at ≥31 LEJR episodes, 90-day bundles, 2% discount, 29 risk adjusters. The Engine below prices your exposure hospital by hospital.
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.
Every dot is a state's CY2027 ASM participant count, aggregated today from the CMS participant list (6,637 clinicians, 49 states). Toggle cohorts, then look up any clinician against the live CMS API below — the same public dataset, queried as you type.
Built for the essays, kept running for members. Both are being restyled into the house system and nested here; until then the gate points at the working versions.
Per-hospital opportunity and risk workbench for the proposed bundle: LEJR exposure, readmission risk, star ratings, CJR history, PRO-PM penalty modeling — 2,663 hospitals, five CMS datasets, queryable in your browser.
The penalty dashboard for the Ambulatory Specialty Model: provider-level and organization-level exposure across the 9%→12% adjustment ramp, by cohort, state, specialty, and practice size.