The CMS Access Model represents a significant opportunity for healthcare providers to participate in value-based care while receiving predictable reimbursement for managing chronic conditions. By understanding the payment mechanics, clinical tracks, and performance requirements, providers can optimize their participation and maximize revenue potential.
Key success factors include:
1. Accurately projecting patient volumes across all clinical tracks
2. Planning for the 50/50 cashflow split during the care period
3. Implementing robust care coordination to meet performance thresholds
4. Tracking outcomes to ensure full reconciliation payments
5. Leveraging rural add-on payments where applicable
As CMS continues to evolve its value-based care initiatives, staying informed about models like Access will be crucial for healthcare organizations seeking to thrive in the changing reimbursement landscape. For more insights read full blog: https://www.healtharc.io/blogs/what-is-the-cms-access-model-a-complete-guide-for-healthcare-providers/
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