Wednesday, February 18, 2026

STAT+: Does Medicare’s ACCESS model pay enough?

Welcome to the latest edition of STAT Health Tech, where we bring you the most recent updates and advancements in the world of healthcare technology. In this edition, we will be discussing the new payment rates for Medicare’s ACCESS model, the use of AI by health insurers, and other exciting developments in the field.

Let’s start with the ACCESS model, which stands for Acute Care Episode (ACE) demonstration. This model was introduced by the Centers for Medicare and Medicaid Services (CMS) to improve the quality and efficiency of care for Medicare beneficiaries. Under this model, hospitals are paid a fixed amount for each episode of care, rather than the traditional fee-for-service model. This encourages hospitals to focus on providing high-quality care and reducing unnecessary costs.

Recently, CMS announced an increase in the payment rates for the ACCESS model, which will go into effect in January 2022. This increase is a testament to the success of the model in achieving its goals. It also reflects the commitment of CMS to continue supporting innovative payment models that promote value-based care.

Moving on to the use of AI by health insurers, this is a trend that is gaining momentum in the healthcare industry. AI has the potential to revolutionize the way insurers operate, from claims processing to fraud detection and risk assessment. By automating these processes, AI can help insurers save time and resources, allowing them to focus on providing better services to their customers.

One example of this is the use of AI-powered chatbots by health insurers to assist customers with their queries and concerns. These chatbots are available 24/7 and can provide personalized and accurate responses, improving customer satisfaction and reducing the workload of customer service representatives.

Moreover, AI can also help insurers identify high-risk individuals and provide them with targeted interventions to improve their health outcomes. This not only benefits the individual but also reduces healthcare costs for insurers in the long run.

In addition to these developments, there are many other exciting advancements happening in the world of health tech. For instance, the use of virtual reality (VR) in healthcare is gaining traction. VR technology has the potential to improve patient outcomes by providing immersive and interactive experiences for rehabilitation, pain management, and mental health treatment.

Another area that is seeing significant progress is telemedicine. With the rise of remote work and the need for social distancing, telemedicine has become an essential tool for providing healthcare services. It allows patients to consult with their doctors remotely, reducing the risk of exposure to infectious diseases and improving access to care for those in remote areas.

Furthermore, the use of wearables and health tracking apps is also on the rise. These devices and apps can collect real-time data on an individual’s health, allowing for early detection of health issues and better management of chronic conditions.

The advancements in health tech are not limited to just treatment and diagnosis. They also extend to the administrative side of healthcare. Electronic health records (EHRs) have become a standard in the industry, improving the accuracy and accessibility of patient information. Additionally, blockchain technology is being explored as a way to securely store and share patient data, ensuring privacy and security.

In conclusion, the world of health tech is constantly evolving, and these advancements are bringing about positive changes in the healthcare industry. From innovative payment models to the use of AI and other emerging technologies, the future of healthcare looks promising. We can expect to see more developments in the coming years that will further improve the quality and efficiency of healthcare services. Let’s embrace these advancements and continue to support the growth of health tech for the betterment of all.

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