Access to Care & Coverage
Expert articles and analysis related to access to care & coverage.
AI Summary — Last 7 Days
CMS, under the Trump administration, announced the selection of over 150 participants—including digital health companies, ACOs, and providers—for the new Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model, launching July 5. The ACCESS model, designed as a voluntary 10-year value-based care program, links leaner-than-expected payments to measurable improvements in chronic disease management, leveraging technology partnerships to target conditions like diabetes, obesity, musculoskeletal pain, and depression among Medicare beneficiaries. Early response from participants and industry stakeholders signals both enthusiasm for tech-enabled care delivery innovation and ongoing tension over the model’s reduced payment rates compared to existing benchmarks, underscoring a critical inflection point for risk adoption and scalable population health strategies in Medicare VBC programs.
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
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
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...
What Are the Recent Trends in Employer-Based Health Coverage?
Employer-sponsored health insurance is the largest source of health coverage for people under 65, covering 165.6 million people in March 2025. This analysis examines who among people under 65 have emp...
Digital health companies share plans for Medicare’s ACCESS Model
Digital health companies share plans for Medicare’s ACCESS Model  Modern Healthcare