MedCity News December 18, 2025
CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care by tying payments to patient outcomes and encouraging tech-enabled, preventive care. Experts say it could benefit digitally mature, value-focused providers first, but its overall success will hinge on clear metrics, better data sharing and sustained participation.
CMS has been trying to scale value-based care for decades with mixed results — but the agency’s newly announced ACCESS model could represent a more meaningful step toward aligning payment with outcomes and costs.
Over the past 20 years, CMS’ steady progression of payment and care delivery reforms include pay-for-performance, bundled payments, accountable care organizations and alternative payment models. While many of those efforts layered...







