Healthcare Innovation December 1, 2025
Organizations participating in ACCESS Model will receive recurring payments for managing traditional Medicare patients’ qualifying conditions, with full payment tied to achieving measurable health outcomes
Key Highlights
- The ACCESS model will test outcome-based payments for Medicare care organizations managing chronic conditions, emphasizing measurable health improvements.
- Participating organizations will deliver integrated, technology-supported care, including virtual consultations, medication management, and use of FDA-authorized devices.
- Focus areas include cardiovascular, kidney, metabolic, musculoskeletal, and behavioral health conditions, with future expansion possible.
Starting next July the CMS Innovation Center will experiment with a payment approach in traditional Medicare to expand access to new technology-supported care options to help patients manage chronic conditions.
The Innovation Center noted that traditional Medicare has historically lacked...
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