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Health IT & Interoperability

Expert articles and analysis related to health it & interoperability.

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CMS’s new Medicare ACCESS chronic care pilot is being framed as a federal-scale test bed for AI-enabled care management and interoperability, but major digital health incumbents appear to be sitting it out—raising questions about whether the model’s economics, data-access requirements, or operational risk are deterring the vendors most experienced in scaled virtual chronic care (STAT). For ACOs, MA plans, and risk-bearing provider groups, the immediate signal is that CMS under the Trump administration is continuing to push tech-enabled value-based care infrastructure, while the market remains unsettled on whether AI, HCC-gap capture, and electronic prior authorization tools can be integrated into payment models without worsening administrative burden or vendor fragmentation. Emerging private-sector moves—from AbsoluteCare’s VBC technology strategy to Doximity’s AI alignment with Aledade—suggest population health platforms are racing to pair clinical workflow AI with risk adjustment and care management capabilities, but adoption will hinge on measurable impact on cost, quality, and clinician throughput.

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