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ACCESS adds 2027 tracks, behavioral track pays $180 a patient

6 days ago
1 min read

The dollar amounts are out (https://www.hfma.org/payment-reimbursement-and-managed-care/cms-access-model-expansion/): CMS will pay tech vendors roughly $180 per patient for the ACCESS behavioral track, with half withheld until outcomes are reconciled after 12 months. The expansion adds heart failure, COPD, substance use, and tobacco cessation tracks starting April 1, 2027, plus a follow-on track for chronic musculoskeletal pain. Referring providers get a $30-per-service co-management fee capped at $100 a year, though one participating physician warns the rates are tight enough that some vendors may walk.

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