CMS swaps fee-for-service for outcome pay in behavioral health pilot

Sep 29

1 min read

The next ACCESS entry point is October 1, 2026, and behavioral health participants bill only model G-codes for aligned Original Medicare beneficiaries during the 12-month care period instead of fee-for-service (Lexology: https://www.lexology.com/library/detail.aspx?g=eb97b506-6fb9-49ff-b3f5-651f76b0aadf). Payment is outcome-aligned, scaling with the share of patients hitting PHQ-9 and GAD-7 improvement targets against a 50% threshold in year one (McDonald Hopkins: https://www.mcdonaldhopkins.com/insights/news/cms-to-expand-access-model).

See All

Practice leaders want pay for audits that find nothing

At MGMA's government affairs town hall on Sept. 29, an Alaska practice leader turned the tables on downcoding audits: if an insurer audits your charts and finds the claims were coded correctly, the in

Providence sees 73% rise in denials and underpayments

Hospital CEOs stopped treating revenue cycle as back-office work and started treating it as 2027 strategy. Cleveland Clinic still has more than 15% of claims initially denied, a grind its CFO calls un

Psychologists likely to see Medicare revenue rise

The proposed 2027 physician fee schedule nets clinical psychologists about 11% on RVU changes, even as overall base rates drop (New England Psychologist). The lift comes from a four-year RVU reevaluat

1 Comment

Zara Rodrigo

6 days ago

Aunque el enfoque de beyond a one-size-fits se plantea aquí para la gestión de cobros en salud mental, ese mismo principio de evaluación personalizada resulta necesario al analizar sectores comerciales complejos como las casas de apuestas deportivas en Chile. Al examinar estas plataformas conviene revisar de forma estructurada tres aspectos técnicos: la vigencia de licencias internacionales, las herramientas de juego responsable disponibles y los análisis comparativos de seguridad recopilados por http://liderendeportes.com/apuestas/es-cl. Aplicar este tipo de criterios analíticos antes de interactuar con cualquier operador digital ayuda a prevenir riesgos operativos y financieros para los usuarios.