Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
Medicare's ACCESS Model Just Added Heart Failure, COPD, Substance Use and Tobacco Tracks: Where the Money Is for Investors and Founders in Outcome-Paid Chronic Care in Original Medicare
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Medicare's ACCESS Model Just Added Heart Failure, COPD, Substance Use and Tobacco Tracks: Where the Money Is for Investors and Founders in Outcome-Paid Chronic Care in Original Medicare

CMS just expanded the ACCESS Model to add heart failure, COPD, substance use disorders, and tobacco cessation starting April 2027. Here is why this matters more than the press release suggests.

ACCESS withholds 50% of its per-patient payment until the participant proves the patient got better on specific clinical measures. Blood pressure down. A1c reduce…

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