Provider Networks & Access

Synthesis:

In the past 30 days, CMS has advanced a major structural shift in provider networks and access with the launch of the 10-year ACCESS model, selecting over 150 digital health companies and provider organizations to participate in a chronic care experiment focused on obesity, diabetes, musculoskeletal pain, and depression in Original Medicare. This voluntary, technology-driven payment model introduces leaner payment rates than anticipated, intensifying pressure on participants to demonstrate cost savings and improved outcomes while testing new approaches to value-based care infrastructure and the scalability of tech-enabled chronic disease management. Early ACCESS uptake, alongside solid first-year results from the ACO REACH program, signals that payer, provider, and health tech stakeholders are rapidly recalibrating their VBC strategies to align with evolving CMS policy and the growing role of digital partners in Medicare’s care delivery transformation. For more detail, see CMS announces 150 participants for upcoming ACCESS model launch and First Year Of ACO Realizing Equity, Access, And Community Health Program Yields Good Quality, Savings Results.