The Centers for Medicare & Medicaid Services (CMS) is preparing to launch the Medicare Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model to expand access to technology-supported care options that help beneficiaries prevent and manage chronic health conditions.

The model will also test outcome-aligned payments in which reimbursement for the participating provider organizations will be based on condition-specific clinical improvement or control targets compared to a baseline.

The 10-year model will focus on high blood pressure, diabetes, chronic musculoskeletal pain, and depression. Medicare beneficiaries will have access to wearable monitoring devices, coaching applications, and other . . .

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Medicare

The Medicare program is a health insurance program funded by the federal government for older adults, aged 65 and above, as well as younger individuals who have disabilities or end-stage renal disease. There are both strategic opportunities and challenges for health and human service provider organizations serving Medicare beneficiaries, who often have complex health and social support needs. As a result, Medicare plans are looking for innovative services and initiatives that demonstrate a return-on-investment in spending and consumer outcomes.


Medicare mental health specialists with high uptake of telemedicine mental health services between 2018 and 2023 had a 0.88 percentage point higher share of services provided to fee-for-service (FFS) beneficiaries in rural areas, compared to mental health specialists in the lowest telemedicine uptake quartile, according to a recent study. Much of the increase in rural service use was due to existing patients moving farther away from their specialists, rather than new rural beneficiaries seeking out… Read