Medicare Payment Policy
Expert articles and analysis related to medicare payment policy.
AI Summary — Last 24 Hours
CMS is expanding the ACCESS Model in 2027 to additional chronic conditions—including COPD, substance use disorder, and tobacco cessation—signaling that the Trump administration’s CMMI agenda is leaning into technology-enabled, outcomes-based payment for longitudinal chronic disease management rather than one-off digital health pilots (Healthcare Dive, AHA). For ACOs, MA plans, Medicaid agencies, and digital health vendors, the immediate implication is a broader pathway for cross-payer alignment around condition-specific value models—but also higher pressure to prove utilization, quality, and total-cost impact as scrutiny of virtual chronic care and Medicare Advantage coding practices intensifies.
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