Alternative Payment Models
Expert articles and analysis related to alternative payment models.
AI Summary — Last 30 Days
CMS is moving the Trump administration’s alternative payment model agenda toward tech-enabled specialty and chronic disease management, expanding the ACCESS model for 2027 to COPD, substance use disorder, and tobacco cessation while signaling interest in cross-payer alignment across Medicare and Medicaid (Healthcare Dive). At the same time, CMMI under Abe Sutton is pairing APM expansion with stronger utilization-management tools—most notably positioning the WISeR prior authorization pilot as a potential template—creating a strategic tension for providers and ACOs between broader accountable-care opportunities and tighter federal scrutiny of “low-value” services (HFMA). Stakeholder comments on the CY 2027 PFS/MSSP rule from groups such as HCTTF, AHA, and ACC show the field pushing CMS to strengthen primary care, stabilize MSSP participation, and ensure specialty models complement rather than fragment population-based accountability.
Related Articles
CMS extends ACCESS model to more chronic conditions as agency officials eye cross-payer alignment
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CMS to add more chronic conditions to ACCESS model in 2027
The Trump administration is expanding Medicare’s new technology-based payment experiment to cover more chronic conditions, including COPD, substance use disorder and tobacco cessation.
CMS Releases Final Ambulatory Specialty Model Participant List For 2027
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Dr. Oz on ACCESS: Let’s treat patients instead of just checking boxes
CMS Broadens ACCESS Model to New Chronic Conditions
CMS Broadens ACCESS Model to New Chronic Conditions MedCity News
What's next for Medicare's health tech pilot
The Centers for Medicare and Medicaid Services (CMS) held an event this week to mark the launch, earlier this summer, of the ACCESS model — the 10-year pilot program that
Oura, Counsel Health join CMS ACCESS model to test whether wearables and AI can improve chronic care at scale
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