Care Coordination & Referrals
Expert articles and analysis related to care coordination & referrals.
AI Summary — Last 7 Days
Over the past week, CMS has advanced technology-driven care coordination through the launch of the new ACCESS model, accepting 150 participants—including ACOs and digital health companies—to test lean payment structures tied to chronic disease management outcomes in Medicare, with a special emphasis on scalable tech solutions for conditions such as obesity, diabetes, musculoskeletal pain, and depression. Payment rates for ACCESS came in lower than industry expectations, intensifying debate over the willingness of providers and their tech partners to participate and deliver results under voluntary, at-risk arrangements. Simultaneously, CMS has proposed expanding the Comprehensive Care for Joint Replacement (CJR) model, explicitly calling for hospital–home health coordination, further sharpening the focus on inter-provider collaboration as essential to success in emerging value-based payment models.
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