Digital Health & Virtual Care
Expert articles and analysis related to digital health & virtual care.
AI Summary — Last 30 Days
Over the past 30 days, the Centers for Medicare & Medicaid Services (CMS) has accelerated structural transformation in value-based care by expanding digital health integration across payment models. Notably, CMS formally accepted 150 participants, including digital health companies and virtual-first providers, into the ACCESS Model, which aims to align Medicare payments with measurable outcomes for chronic conditions such as obesity, diabetes, musculoskeletal pain, and depression—though the payment rates set have been lower than many industry stakeholders anticipated, intensifying strategic pressure on technology-enabled care models to demonstrate cost savings and value in Medicare populations [CMS taps 150 digital health companies, providers for ACCESS Model; CMS announces 150 participants for upcoming ACCESS model launch]. In parallel, large health systems and ACOs are scaling the integration of AI-driven care navigation—such as through partnerships reaching nearly a million value-based care patients—in pursuit of more automated, digitally supported population health management, as CMS advances broader VBC alignment across ACO REACH and mandatory bundled payment models. These moves reflect a deliberate, Trump administration–driven pivot toward technology-enabled, outcomes-based reimbursement and operational efficiency, but also reveal mounting tensions around sustainable payment adequacy and digital health's path to scale under current regulatory constraints.
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