"ACCESS stands for Advancing Chronic Care with Effective, Scalable Solutions. It will allow providers to use digital tools, nontraditional services and care teams that are not typically reimbursed under fee-for-service. Participating providers will take on responsibility for quality and the total cost of care, with the opportunity to share in savings if they improve outcomes and decrease spending. The model, which is slated to begin on July 1, is designed to promote prevention, continuous engagement and technology-enabled care rather than episodic visits."
"Over the past 20 years, CMS' steady progression of payment and care delivery reforms include pay-for-performance, bundled payments, accountable care organizations and alternative payment models. While many of those efforts layered incentives on top of providers' fee-for-service models, ACCESS is a more explicit attempt to rewire traditional Medicare itself around patient outcomes, total cost of care and flexibility in how care is delivered."
ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) restructures Medicare fee-for-service to prioritize patient outcomes and total cost of care. The model permits use of digital tools, nontraditional services, and care teams not typically reimbursed under fee-for-service. Participating providers assume responsibility for quality and total cost, with opportunities to share savings if outcomes improve and spending declines. The model promotes prevention, continuous engagement, and technology-enabled care instead of episodic visits, and seeks to expand care beyond hospitals and clinics. Initial focus includes conditions affecting over two-thirds of Medicare beneficiaries, such as depression, diabetes, hypertension, and chronic musculoskeletal pain. Success depends on sustained participation, clear metrics, and integration of data across fragmented care settings.
Read at MedCity News
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