THE CLOCK IS TICKING

The CMS 2030 Mandate: What Every Practice Must Know

CMS has set a goal for 100% of Traditional Medicare beneficiaries to be in an accountable care relationship by 2030. This isn't optional — it's a system-wide shift from fee-for-service to value-based care, enforced through expanding payment programs and penalties.

2026

MIPS performance threshold at 75 points. Non-reporters lock in penalties. The ACCESS model (targeting chronic MSK pain) launches July 2026. Medicare fee schedule cuts continue hitting manipulation codes.

2028

Payment adjustments from 2026 MIPS performance take effect. Non-reporters receive -9% penalty on all Medicare Part B charges for the entire year.

2030

CMS target: 100% of Medicare beneficiaries in value-based accountable care. Practices outside the system face compounding fee cuts and exclusion from referral networks.

What happens if you don't prepare?

  • Automatic -9% Medicare payment penalty for non-MIPS reporters — applied to every Part B claim for a full year
  • Ongoing fee schedule erosion: manipulation codes are being cut while outcome-based codes are rewarded
  • Exclusion from accountable care networks and referral relationships
  • Shrinking margins with no path to recover as CMS tightens the financial pressure each year

The 2026 performance year is already underway. Every year you wait, the thresholds rise, the cuts compound, and the gap gets harder to close.

Run Your Numbers

Why Being Payer-Ready and Network-Ready Matters To You

Healthcare is rapidly shifting toward outcome-driven, payer-ready models. As an independent healthcare provider, you're at risk of being left behind — again — without the collective leverage and infrastructure needed to participate.

A VBE provides what you can't achieve alone: legal collective bargaining power, access to value-based contracts, and a seat at the negotiating table with payers.

VEA's VBE structure — powered by ChiroEdge (the revenue cycle and administrative engine) and Spine Care Partners (the clinical, systems, and growth-enablement engine) — complies with federal regulations (OIG/CMS 2020 safe harbors) so you can negotiate fees, share resources, and participate in care-coordination payments — all capabilities impossible for solo practitioners to achieve alone.

The result: You gain market relevance, negotiating strength, and protection in an evolving healthcare landscape — while maintaining full ownership and independence.

Legal Collective Bargaining

Federal compliance (OIG/CMS 2020 safe harbors) enables you to negotiate fees and contracts with payers — capabilities unavailable to solo practitioners.

Value-Based Contracts

Access to value-based contracts and care-coordination payments that reward quality outcomes, not just volume.

Negotiating Strength

A seat at the negotiating table with payers, giving you market relevance and protection in an evolving healthcare landscape.

Full Independence

Gain all these advantages while maintaining full ownership and independence of your practice.

The CIN Advantage

Every VEA clinic uses the same data-backed EHR foundation, so outcomes and performance can be measured across the network.

That gives us what individual practices can't achieve alone:

PATHWAYS VALUE ACCESS LEVERAGE
Shared data and clinical pathways
Unified reporting to prove your clinic's value
Access to value-based contracts and referral networks
Collective strength to negotiate better terms
CIN Advantage

See Your Practice Opportunity

Calculate how much you could earn through VEA's infrastructure.

Run Your Numbers

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