"His company, Pair Team, announced on April 30 it had been accepted into ACCESS, a Medicare program - as one of 150 participants chosen by the Centers for Medicare & Medicaid Services to test what AI-driven medical care could look like at federal scale. The program goes live July 5."
"ACCESS - Advancing Chronic Care with Effective, Scalable Solutions - is a 10-year CMS program testing a payment model that rewards health outcomes rather than required activities (like a certain number of check-ins). Participating organizations like Pair Team receive predictable payments for managing qualifying conditions and earn the full amount only when patients meet measurable health goals, like lower blood pressure or reduced pain."
"Traditional Medicare reimburses based on time spent with a clinician. There's no mechanism to pay for an AI agent that monitors a patient between visits, calls to check in, coordinates a housing referral, or makes sure someone picks up their medication. ACCESS creates that mechanism for the first time."
""It's a payment model transformation," Batlivala said. "You just couldn't do this before.""
Pair Team was accepted into ACCESS, a 10-year CMS Medicare program testing AI-driven medical care at federal scale. ACCESS begins July 5 and selects 150 participants to evaluate a payment model that rewards health outcomes rather than required activities. Traditional Medicare reimburses based on time spent with clinicians, which does not support payment for AI agents that monitor patients between visits, coordinate services, or ensure medication adherence. ACCESS provides predictable payments for managing qualifying conditions and pays full amounts only when patients achieve measurable goals such as lower blood pressure or reduced pain. The program covers diabetes, hypertension, chronic kidney disease, obesity, depression, and anxiety.
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