Summary
The Centers for Medicare & Medicaid Services (CMS) released a list of over 150 participants in the ACCESS health model, showing a wide mix of experienced healthcare organizations and new companies from related fields. The program aims to improve care for patients with chronic conditions by paying for results rather than services, but some worry not all participants are ready for the challenges involved.
Key Facts
- CMS announced more than 150 participants in the ACCESS model focused on outcomes-based care.
- Participants include longtime Medicare Advantage and healthcare providers, as well as companies from consumer tech and data analytics.
- ACCESS lowers entry barriers compared to past federal healthcare programs to encourage innovation.
- The goal is to improve measurable patient health results while managing costs and care coordination.
- Experienced organizations face a familiar challenge of value-based care; newer participants may face a steep learning curve.
- Some healthcare leaders see the diverse group as a chance to innovate faster, while others worry some entrants do not fully understand Medicare.
- ACCESS emphasizes patient choice, recognizing Medicare patients also act as consumers seeking connected health devices.
- Industry experts agree change is needed in Medicare care delivery and payment models.
