Category: HTA Articles

Commentary by Sheryl Markowitz, MSW, LCSW, LISW-S Co-Founder, Principal Advisor, Health Transformation Advisory A patient with pneumonia is admitted to Hospital at Home. The first member of her care team to see her house arrives after she’s already home. The decision about whether that house could safely hold an acute admission was made in a…

The CMS ACCESS Model just opened Medicare to technology and digital health companies as direct Part B billers — paid for outcomes, not office visits. With official payment rates now published and the first performance period underway, more than 500 organizations have already filed intent to apply across a 10-year model runway. This playbook walks…

The CMS ACCESS Model is a new 10-year voluntary alternative payment model from the CMS Innovation Center (CMMI), testing whether paying for measurable health outcomes — rather than individual services — can improve chronic-condition care in Original (fee-for-service) Medicare. The model launched its first performance period on July 5, 2026, after CMS accepted more than…

As CMS launches the ACCESS initiative, providers should not miss out on the revenue their participating patients generate. There is money on the table — both today and tomorrow. This playbook walks through how participation sets providers up for value-based contracting success, eligibility for the rural health initiative, improved MIPS performance, and more. Download the…