ACCESS Model Examined
Fierce Healthcare dives deep into the Trump administration’s new Advancing Chronic Care with Effective Scalable Solutions (ACCESS) Model, which is a 10-year value-based-care (VBC) payment program to encourage the use of technology to treat chronic diseases. It teams technology companies with traditional Medicare fee-for-service (FFS) providers.
About 150 digital health companies were approved to participate in the first cohort, which launches as early as July 5. The Center for Medicare and Medicaid Innovation (CMMI) announced the model in December and pays recurring payments for technology used to treat diabetes, hypertension, chronic kidney disease, obesity, depression and anxiety. It then awards a VBC bonus if outcomes are met. This could be improvement or stability in disease states.
The ACCESS Model aligns with the Centers for Medicare and Medicaid Services’ (CMS) goal of having all traditional Medicare beneficiaries in an accountable care relationship by 2030. The model shifts away from remote patient monitoring (RPM) and chronic care management (CCM) billing codes that offer payments for specific activities. ACCESS encourages the use of AI and other emerging technologies at scale.
The tracks in the ACCESS Model include early Cardio-Kidney-Metabolic (hypertension, dyslipidemia, obesity, and prediabetes); Cardio-Kidney-Metabolic (diabetes, chronic kidney disease, atherosclerotic cardiovascular disease); Musculoskeletal (chronic musculoskeletal pain); and Behavioral Health (depression and anxiety).
Rates were lower than the industry expected and fall below current billing models. The rates range from $90 to $420 per beneficiary per year (i.e., $7.50 to $35 per month), depending on model track. But it does include additional populations that may not usually be enrolled in traditional care coordination programs.
#access #vbc #medicare #cms
Bad Trump Polling Hurting GOP Midterm Prospects
President Trump’s disapproval rating is threatening to become a liability for Republicans as the party looks to keep control in D.C. in November. An ABC News/Washington Post/Ipsos poll released Sunday found the president at a 62 percent disapproval rating, with 37 percent saying they approved of his job leading the country. On Trump’s handling of the cost of living and inflation, 76 percent and 72 percent disapprove, respectively. In addition, 66 percent of respondents said they disapprove of how Trump is handling the Iran war.
Most view the House as a goner for the GOP and what was once a safe bet for the GOP to keep the Senate is now in question. But experts caution that bad polling for Trump and a poor economic environment doesn’t mean Republicans will lose more seats in November. A lot goes into the political calculation.
#trump #congress #midterms
https://thehill.com/homenews/campaign/5862272-trump-bad-polls-gop-midterms
— Marc S. Ryan
