14 payers pledge support for ACCESS model

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Fourteen health insurers have voluntarily committed to CMS’ “Advancing Chronic Care with Effective, Scalable Solutions” model, according to a Feb. 12 CMS news release shared with Becker’s.

The insurers that are on board will work toward achieving alignment with the model by 2028. The plans represent 165 million Americans.

With a decade-long evaluation period beginning in July, ACCESS will explore whether linking payments to clinical outcomes can facilitate technology in chronic disease management, focusing on Medicare beneficiaries. Targeted conditions include high blood pressure, diabetes, chronic musculoskeletal pain and depression. The agency began accepting applications, which are due in April, on Jan. 12.

The FDA’s “Technology-Enabled Meaningful Patient Outcomes for Digital Health Devices Pilot” will operate in conjunction with ACCESS, allowing expanded availability of relevant devices. 

Here are the 14 payers that have already pledged support for ACCESS:

  • Arkansas BCBS
  • Blue Shield of California
  • BCBS Minnesota
  • BCBS North Dakota
  • BCBS Tennessee
  • CareFirst BCBS
  • Centene
  • Cigna
  • CVS Health
  • Devoted Health
  • GuideWell
  • Horizon BCBS of New Jersey
  • Humana
  • UnitedHealthcare

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.

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