CMS ACCESS Model Raises Concerns Over Participant Diversity and Impact on Healthcare
The Centers for Medicare & Medicaid Services (CMS) has released a list of over 150 participants in its ACCESS model, aimed at delivering measurable clinical outcomes for patients with chronic conditions. The model includes a diverse range of organizations, from those experienced in Medicare Advantage and ACOs to newer entrants from consumer tech and analytics sectors. This diversity is intentional, as CMS seeks to encourage innovation by lowering barriers to entry. However, the mix of experience has raised concerns among industry leaders about the ability of all participants to positively influence patient outcomes. The ACCESS model requires coordination with a provider ecosystem facing financial and technological pressures, posing challenges for newer entrants.