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Healthcare Access & Coverage

Expert articles and analysis related to healthcare access & coverage.

13 articles•Last 7 Days

AI Summary — Last 7 Days

CMS, under the Trump administration, has announced the launch of the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model, selecting over 150 digital health companies and providers to participate in this 10-year voluntary program aimed at aligning Medicare payment with measurable outcomes for chronic conditions such as diabetes, obesity, musculoskeletal pain, and depression. The ACCESS model’s "lean payment" approach—offering lower-than-expected reimbursement—seeks to accelerate value-based care adoption by testing whether technology-enabled chronic disease management can deliver both improved health outcomes and cost savings, despite early concerns from industry about payment adequacy. This shift signals CMS's ongoing focus on population health transformation via technology partnerships and risk-bearing arrangements, with key implications for ACOs, payers, and providers seeking to scale value-driven care delivery in Medicare (Healthcare IT News Article, Healthcare Finance News Article).

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