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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