Digital Health & AI
Expert articles and analysis related to digital health & ai.
AI Summary — Last 30 Days
CMS under the Trump administration is tightening the economics and compliance perimeter for digital care in Medicare: the proposed physician fee schedule shift to bar third-party vendors from furnishing remote patient monitoring on behalf of clinicians would materially disrupt RPM operating models, while the ACCESS chronic disease experiment appears to pay digital health vendors at Medicare-population-health rates rather than commercial point-solution prices. For VBC stakeholders, the signal is that digital health must move from outsourced utilization add-on to accountable, clinically integrated infrastructure—supported by emerging quality frameworks such as NCQA’s Digital Health Engagement Accreditation, but pressured by fraud enforcement and CMS scrutiny of vendor-led telehealth/RPM models. The strategic tension is whether ACOs, MA plans, CHCs, and health systems can absorb AI, RPM, ambient documentation, adherence sensors, and activation platforms into longitudinal care management fast enough to improve outcomes and total cost of care under lower, more regulated reimbursement assumptions (CMS RPM proposal; CMS ACCESS economics).
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