Access to Care & Coverage
Expert articles and analysis related to access to care & coverage.
AI Summary — Last 30 Days
Over the past 30 days, CMS has accelerated structural transformation in value-based care with the launch of the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model, selecting 150 digital health firms and provider organizations to test leaner payment rates and voluntary, tech-enabled chronic care management for Medicare beneficiaries. The ACCESS model’s introduction of lower-than-expected reimbursement and a strong focus on technology partnerships represents a strategic bet on scalable, outcomes-based population health management, surfacing new tensions around provider incentives and care model sustainability as ACOs and health tech entrants seek durable participation under tighter margins. Early ACCESS participants and partners like Aledade, ALYKA, and major health plans see the model as a pivotal accelerator for value-based contracting and digital integration, suggesting a broadening alignment between CMS payment innovation and industry-led transformation in chronic disease care delivery (Healthcare IT News report).
Related Articles
Aledade Selected for CMS ACCESS Model to Expand Tech-Enabled Chronic Care Support
Aledade Selected for CMS ACCESS Model to Expand Tech-Enabled Chronic Care Support  Aledade
Lean payment, voluntary participation test new ACCESS model
The Centers for Medicare and Medicaid Services is testing a voluntary model that ties provider payments to chronic disease management results gained through the use of partnering technology companies....
CMS accepts more than 150 organizations for participation in ACCESS Model, extends application deadline
CMS accepts more than 150 organizations for participation in ACCESS Model, extends application deadline  American Hospital Association
Clamoring for ACCESS: New CMS 10-year payment model gets more than 150 applicants
Clamoring for ACCESS: New CMS 10-year payment model gets more than 150 applicants  Medical Economics
CMS taps Verily, Noom, 150+ others to participate in ACCESS model
CMS taps Verily, Noom, 150+ others to participate in ACCESS model  TechTarget
CMS taps 150 digital health companies, providers for ACCESS Model
CMS taps 150 digital health companies, providers for ACCESS Model  Fierce Healthcare
STAT+: Access granted: CMS greenlights more than 150 participants for chronic care experiment
CMS greenlights more than 150 digital health companies for its ACCESS experiment, a new program for tech-backed chronic care with outcome-aligned payments.
Early Participants of CMS ACCESS Model See Program as Accelerant for Value-Based Care
Early Participants of CMS ACCESS Model See Program as Accelerant for Value-Based Care  Behavioral Health Business
TEMPO pilot program
From newsletter: The LI Daily: Health tech company says it will dive into Medicare’s new chronic care experiment Health tech company says it will dive into Medicare’s new chronic care experiment Cade...
How Employers Support Lower-Waged Workers’ Access to Health Insurance Options
This analysis examines the costs, availability, and take-up of health benefits for workers with lower wages, using survey data and focus groups with more than 100 U.S. employers with over a quarter of...