Primary Care Models

CMS’s 2027 Medicare Physician Fee Schedule proposal is positioning primary care as a stronger entry point into value-based care by improving payment for internal medicine and care management while potentially changing ACO economics and home-based care partnerships, creating new incentives for tighter coordination between physician groups, ACOs, and post-acute/home health providers. At the same time, CMS’s ACCESS Model is drawing digital health and chronic disease management companies into Medicare risk-bearing arrangements, but with payment levels and performance accountability that may favor platforms able to integrate with primary care workflows rather than standalone point solutions. The broader signal for VBC stakeholders is that primary care enablement, specialty-condition models such as kidney care, and accountable care legislation like the Patients First Act are converging around a more durable Medicare strategy: stabilize physician payment, expand longitudinal population management, and push vendors/providers toward measurable outcomes under risk (ACP on 2027 MPFS; CMS ACCESS coverage).