CMS Unveils New Payment Model to Expand Tech-Supported Care Access
The Centers for Medicare & Medicaid Services (CMS) has introduced a new payment model aimed at enhancing access to technology-supported care for individuals with Original Medicare. This initiative, known as the Advancing Chronic Care with Effective, Scalable Solutions Model, specifically addresses common chronic conditions.
Key Features of the New Payment Model
This payment model will focus on several prevalent health issues, including:
- High blood pressure
- Diabetes
- Muskuloskeletal pain
- Depression
Providers participating in this program will receive fixed payments to manage these conditions. Importantly, the full payment will be contingent on achieving measurable health outcomes for patients.
Application Timeline
The CMS will start accepting applications for this innovative, voluntary model on January 12, 2026. The first round of applications will close on April 1, 2026. This new model is set to launch on July 1, 2026, marking a significant shift in how chronic care is managed under Medicare.
Implications for Stakeholders
The introduction of this outcome-aligned payment model is expected to encourage providers to adopt technological solutions in delivering care. With a strong focus on health outcomes, the initiative aims to increase the efficiency and effectiveness of chronic disease management in Medicare.
