Insights and Analysis
Stay ahead of what’s changing in health care. Coral Health Advisors brings deep expertise in policy, operations, and value-based care and we share that insight through practical, timely content built for changemakers across the system. Explore expert commentary, podcast discussions, and strategic tools. Whether you're navigating reform, designing models, or scaling impact, these resources help you cut through complexity and move forward with confidence.
Transforming Rural Health: What States Need to Know About the $50 Billion Rural Health Transformation Fund
Rural hospitals and health systems are vital access points for millions of Americans, but for decades, they’ve faced structural and financial challenges that make long-term sustainability difficult. Now, with the launch of the Rural Health Transformation Fund, states have a new opportunity to invest in rural health care in a way that is both transformative and accountable.
Inside the WISeR Model: CMS’s First Tech-Only Innovation Initiative
CMS is launching a first-of-its-kind model that puts technology companies at the center of Medicare’s prior authorization process with the Wasteful and Inappropriate Service Reduction (WISeR) Model.
PFS 2026 & ASM: What ACOs and Specialists Need to Know
CMS’s CY 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule introduces the Ambulatory Specialty Model (ASM), a mandatory payment model focused on outpatient care for heart failure and low back pain.
CMS Proposes New Mandatory Specialty Care Model: What You Need to Know About ASM
ASM is a five-year, mandatory model that will hold outpatient specialists accountable for their performance on relevant quality, cost, care coordination, and electronic health record use metrics. The model specifically targets heart failure and low back pain.
Trump Executive Order Directing Development of New Drug Pricing Model
President Trump issued an Executive Order on April 15, 2025 focused on lowering high drug prices for Americans, reinforcing a goal set in his previous administration.
Breaking Down CMS’ New Direction
In this special episode, Coral’s Meg Koepke and Melissa Cohen break down the newly released CMS Innovation Center strategy, exploring what we heard and what it could mean for the future of health care transformation.
Additional Resources
