CMS announces ACCESS participants

The Centers for Medicare and Medicaid Services has announced a provisional list of 150 companies that will participate in an experimental model of care that seeks to bring down the cost of chronic disease management. 

The ​​Advancing Chronic Care with Effective, Scalable Solutions model pays for tech-enabled care that improves the health of Medicare patients with high blood pressure, diabetes, chronic musculoskeletal pain, and depression. It will start the first week of July. 

As suspected, the program will be dominated by integrated tech platforms that administer care like Cadence, Doctronic, Headspace, and Noom. There are also a mix of medical groups and tech companies, some of which will have to partner in order to participate. Story Health Partners, an agentic company that supports specialty care, which was acquired by data analytics company Innovaccer last year, is one such.

Any surprises?

The biggest surprise is the sheer number of participants—and that CMS is seeking even more. The agency said that it will keep accepting applications until May 15. 

As we noted in February, the reimbursement rates for this program are fairly low. And participants must show that they can positively impact patient health outcomes before they can collect on their full reimbursement—a fairly high risk prospect.

Notably, Hinge and Sword health, both large musculoskeletal pain platforms, are not listed among the participants.That’s not surprising as this program favors companies that are software, versus care delivery services that are augmented by technology.  Neither is Oura Ring, though Whoop is. Apple is also not listed, which stood out to us. 

Still, companies seem eager to take the risk, especially as the government administrators have noted that industry is encouraged to give feedback. The part of CMS that launched the program – The CMS Innovation Center – is a testbed for innovative ideas that aim to move healthcare to payment based on outcomes, versus services rendered. 

“Money is tight, the numbers are really tight,” said Lisa Bari, who leads policy and partnerships at Innovaccer, a health data company that sells to health systems. Still, she says that for companies who believe they can drive positive health outcomes there’s a financial opportunity here and possibly one for health systems that partner with technology vendors

“I’m going to help you drive the total cost of care down,” she said. “My incentives are aligned.”

The reimbursement rates put health systems in a tough place, because it doesn’t make sense for them to try and deliver the care and outcomes for the price on offer. But through partnering, health systems can refer patients they think would do well in an AI-driven chronic care program, potentially lowering the cost of that patient’s care while also keeping them in the system. 

The companies that participate in ACCESS are going to start marketing heavily to Medicare patients, Bari says, and health systems can either wait for their patients to get picked off or they can proactively partner with and refer patients to a company like Story. 

“You should be proactive if you want the data to be shared back with you,” she said. 

Bottom line: A lot of companies are on board, many more than we expected. Many of the top officials from this administration (Jacob Shiff, Abe Sutton, Chris Klomp) are former entrepreneurs and operators themselves, and they’re tightly networked with many of the leading digital health companies. Those that have raised their hands to participate are demonstrating publicly that they have AI chops and tight relationships with health systems, because the program would be a non-starter without that. 

Here’s the full list of companies that are participating in the ACCESS program:

1. 525 Medical Group (affiliated with Empirical Health) eCKM, CKM
2. Aidar Health, 
3. InceCKM, CKM, BH
4. Aledade Care Solutions of California PC eCKM, CKM 
5. Aledade Care Solutions of Delaware LLC eCKM, CKM
6. Alivia Care Solutions, Inc eCKM, CKM 
7. Alliance Medical Clinic, LLC eCKM, CKM
8. Altitude Cares Inc eCKM, CKM, BH
9. ALYKA Health Technologies, LLCeCKM, CKM 
10. Amelia Heart and Vascular Center eCKM, CKM 
11. Apex Medical Professionals eCKM, CKM, BH 
12. Apollo Medical Groupe CKM, CKM, MSK, BH
13. April Health By Wysa BH
14. AristaMD Medical Group, P.A. eCKM, CKM
15. Attune AIeCKM, CKM, MSK, BH
16. Avocare Health Services, Inc. eCKM, CKM, MSK, BH
17. Baldwin Medical Services, P.C. eCKM, CKM, MSK, BH
18. Beacon Christian Community Health CentereCKM, CKMBerry StreeteCKM, CKMBlossom Ridge Medical InceCKM, CKM, MSK, BH
19. Bold MSK
20. Cadence Health CA PCeCKM, CKM
21. Cadence Health FL PLLCeCKM, CKM
22. Cadence Health NJ LLCeCKM, CKM
23. Cardiac Health Medical Group (Partnered with AliveCor)eCKM, CKM
24. CareHarmony eCKM, CKM, MSK, BH
25. Castlight eCKM, CKM, MSK, BHCCMSeCKM, CKM, BH
26. Cecelia Health eCKM, CKM
27. Central Valley Lifestyle Medicine, PC eCKM, CKM, MSK
28. Cercanos eCKM, CKM, BH
29. Chicago Medical Group Inc.eCKM, CKM, MSK, BH
30. Chopra Medical Services, P.C.eCKM, MSK, BH
31. Ciba Health eCKM, CKM, BH
32. Circadian Health eCKM, CKM
33. Community Home PhysiciansMSK, BH
34. Community Home Physicians PLLC MSK, BH
35. Concert Health Inc BH
36. Coordology eCKM, CKM, MSK, BH 
37. Curai Health Medical Group, PCeCKM, CKM, BH
38. Determined MedicaleCKM, CKM, MSK, BH
39. Devoted Medical eCKM, CKM
40. Diabetes Care Center (Hill Medical Services) eCKM, CKM
41. Dimer Health eCKM, MSKDocGoeCKM, CKM, MSKDocteureCKM, CKM, BH
42. Doctronic eCKM
43. Doral Health and Wellness eCKM, CKM, MSK, BH
44. Enabled Health CKM
45. Evergreen Nephrology CKM
46. FitMate Medical Group eCKM 
47. FitOnCare eCKM, MSKFlagler Medical PCMSK
48. Foodsmart Nutrition Network eCKM, CKM, MSK, BH
49. GamePlan MedicaleCKM, CKM, MSK, BH
50. Geriatric Associates of Michigan PLLCMSK, BH
51. Gojji Pharmacy Greens Health eCKM, CKM
52. Guidehealth eCKM, CKM, BH
53. H Medical PC eCKM, CKM, MSK, BH
54. Happy Vitals eCKM, CKM, MSK, BH
55. Headspace BH
56. Headway BH
57. HealthTape CKM, CKM
58. Hera HealtheCKM, CKM, MSK 
59. Herself Health eCKM, CKM, MSK, BH
60. Higi Professionals of Delaware eCKM, CKM 
61. Holon HealthBHHope Family Care Center eCKM, CKM, BH
62. In Home Medical Group MSK, BH
63. Innerwell BH
64. Isaac Health eCKM, BHItera Health CorpeCKM, CKM, MSK
65. Jimini Health Psychotherapy PC BH
66. JOGO Health MSK
67. JoinCareTeam eCKM, CKM
68. JVS Health eCKM, CKM, BH
69. Kidney Clinic Cordele eCKM, CKM
70. Lark Medical Group eCKM
71. Lifestyle and Family Medicine eCKM, CKM, MSK, BH
72. Limbic Care, PC BH
73. LineaeCKM, CKM
74. Livara Health MSK 
75. Liza HealtheCKM, CKM, MSK, BH
76. M3 Information BH 
77. Mariela Glandt MD, P.C .eCKM
78. Mariposa Community Health Center, Inc eCKM, CKM, BH
79. Martin Luther King Jr Community Medical Foundation eCKM, CKM, BH
80. MDchronic eCKM, CKM, MSK, BH
81. MedBetter Health PA eCKM, CKM, BH
82. Mederva eCKM, CKM, BH
83. Medical University Hospital Authority eCKM, CKM, MSK, BH
84. Milu Health Dr, LLCeCKM, CKM
85. MindHealthy PCeCKM, CKM, MSK, BH
86. Mindoula Health, Inc BH
87. Mindset HealthMSK, BH 
88. Mira Mace Medical Group PAe CKM, CKM, MSK, BH 
89. MSK Access (Limber Health and Revel AI) MSK, BH
90. MyHealthTrack eCKM, CKM, MSK, BH
91. Navigator Healthcare Inc (Partners with Meomind) BH
92. Nephrology of the Golden Isle eCKM, CKM
93. NeuroTap Health, IncMSK, BH
94. Nolia Health BH
95. Noom, Inc.eCKM, CKM
96. NourishedRx eCKM, CKMNudieCKM, CKM, MSK, BH
97. Nuna Health, LLCeCKM, CKM
98. NY Kidney Hypertension Medicine CKM
99. NY remote Medical Monitoring PLLC eCKM, CKM
100. Oaks Integrated Care, Inc. BH
101. One Brooklyn Health CKM
102. Oregon Integrated HealtheCKM, CKM, MSK, BH
103. Orlando Cardiac and Vascular Specialists eCKM, CKM
104. OverrideMSK, BH
105. Pair Team Medical Group of CA PCeCKM, CKM, BH
106. Pair Team Medical Group PAeCKM, CKM, BH 
107. Parker at Your Door eCKM, CKM
108. PL Access Associated (placcess.com)eCKM, CKM
109. Plethy, Inc. MSK
110. PocketRN eCKM, CKM, MSK, BH
111. Presidium HealtheCKM, CKM, MSK, BH
112. Psychiatry Faculty Practice Inc
113. BHPuerto Rock / DPP de Puerto Rico eCKM, CKM, MSK, BH
114. Quantum Care Medicine eCKM, CKM, BH
115. Ramona Health, Inc. eCKM, CKM, MSK, BH
116. Redefine Healthcare MSK
117. Renal Medicine Associates eCKM, CKM
118. RevaMed Primary Care Associates eCKM, CKM, MSK, BH
119. RhythmScience Inc. eCKM
120. RightMove HealthMSKROMTherapy Inc. eCKM, CKM, MSK, BH
121. RxDieteCKM, CKM, MSK, BH
122. Scaled Insights eCKM, CKM
123. Schiffman Medical Services, P.C.eCKM, CKM, MSK, BH
124. Senacare LLC eCKM, CKM, BH
125. Sleep Reset BH
126. Slingshot AIeCKM, CKM, MSK, BH
127. Somantus Medical Group, PCeCKM, CKM, MSK, BH
128. Sondermind BH
129. South Carolina Nephrology and Hypertension Center eCKM, CKM
130. St Louis Medical Clinic, PC eCKM
131. Starlight Provider Group, P.C.eCKM, CKMStory 
132. Health Partners eCKM, CKM
133. SynsorMed eCKM, CKM
134. TailorCare Provider Services, PLLC MSK
135. The Brain and Memory Health Group BH
136. The Kidney Clinic LaGrange eCKM, CKM
137. Total Life eCKM, BH
138. Troupe Health Medical Group eCKM, CKM, MSK, BH
139. Understood Care MSK, BH
140. Valdosta Kidney Clinic eCKM, CKM
141. Verily Health Inc.eCKM, CKM
142. Weight Watchers eCKM
143. Welldoc, Inc.eCKM, CKM
144. Wellpoint Health Solutions eCKM, CKM
145. Welltel Health eCKM, CKM, MSK, BH 
146. WHOOP Physician Services, P.C. eCKM
147. Withings Medical Group eCKM, CKM

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