ACCESS: how Medicare's new payment model creates conditions for large-scale AI adoption in healthcare

Friends, sharing an AI update: Medicare’s ACCESS program ties payment to outcomes — a major opportunity for AI in medicine.

What happened: CMS selected 150 participants (starts July 5) to test outcome-based payments for chronic conditions.

Key points:
• Payments reward health improvement, not time with clinicians — coordination and between-visit monitoring are paid for the first time.
• Example: Pair Team uses voice agent Flora for long interactions and social-support coordination with vulnerable patients.
• Risks: handling sensitive data and program economics uncertainty at low payment rates.

Why it matters: the model shifts incentives — AI-first and lean solutions gain advantage.

How are you preparing for these changes?

#AI #healthcare #Medicare #digitalhealth