Neal (Neal Shah)

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107 appearances 1 recordings 1 series first heard Jun 2026 last heard 30 Jun

Neal (Neal Shah)’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jun 2026 with 1.

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AHLA's Speaking of Health Law · CMMI and the Next Generation of Alternative Payment Models · 30 Jun 2026 podcast

I think those are the the very prominent ones, ACOs, bundle payments, you know, and then I guess specialty focused models uh as well.

So but that's great.

I mean I I think uh you've illustrated the point, which is just

Um, even if you're not a value-based care lawyer, quote unquote, these models have kind of worked their way into so many different areas of reimbursement, um, both governmental and then taking a lot of the same concepts and spreading them out in the non-governmental space uh as well.

Um I wanted to follow up on a point that you made um in in talking about that.

kind of drew a distinction between the CMMI models and regular CMS.

Maybe you could talk about that a little bit.

What's the difference and you know, if you're a a health lawyer or practitioner working in these models, you know, what are some things to keep in mind um and differences when you're dealing with one of these special CMMI um demonstrations?

And to tease that out a little bit, I mean, not having to go through rulemaking is huge in part because you don't have to worry about notice and comment.

So the long, you know, time period associated with collecting information, evaluating it, responding to in some cases, thousands of comments.

Um, you can kind of set a lot of that aside.

And you don't have kind of specific statutory language that guides what you're supposed to be doing as an agency.

Instead, you know, as you said, you have much more flexibility to say what's working, what's not working, and and let's kind of implement changes um on a purely contractual basis.

Um, which is often very uh one sided.

It's not really negotiated, right?

It's it's that's right.

That's right.

Those are yeah.

Those are

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