Anthony McCarley

CMMI's new ACCESS model - here’s the quick overview 👇 🔹 What it is: A voluntary, outcomes-based model focused on chronic condition management, health equity, and patient engagement — rather than total cost-of-care benchmarking. 🔹 Who can participate: A broad set of Medicare Part B providers, including physician groups, tech-enabled care models, and community-based organizations — not just traditional ACOs. 🔹 How it’s different: • Direct beneficiary enrollment (not just claims-based attribution) • No required downside risk • Payments tied to clinical outcomes and social needs resolution, not shared savings 🔹 Why it matters: ACCESS reflects CMS’s continued shift toward: ✔ Chronic condition focus ✔ Paying for results, not volume or utilization alone For providers and ACO leaders, ACCESS is a signal to start thinking differently about care delivery, data integration, and financial modeling over the next few years. 📌 More to come as CMS releases final overlap and benchmarking guidance — but this model is one to watch closely. #ValueBasedCare #CMMI #ACCESSModel #MSSP #HealthEquity #Medicare #HealthcarePolicy

10

📊 Audits are more important than ever — and preparation is the competitive edge healthcare organizations need. Federal funding compliance isn’t just a regulatory checkbox — it’s a strategic imperative. In today’s funding environment, audit readiness can be the difference between confidence and chaos. That’s why proactive compliance and meticulous documentation aren’t optional — they’re essential for safeguarding funding, minimizing risk, and demonstrating operational excellence. In our latest article, How FG Handles Audits: Confidence Through Compliance, we share how audit-ready systems and disciplined processes transform what many see as an administrative burden into a seamless part of your funding journey. From centralized documentation and internal reviews to rapid response support during audit season, FG’s structured approach means healthcare leaders can stay focused on mission-critical priorities — not scramble for paperwork. 💡 Whether you’re a CIO, finance leader, or grants manager, now is the time to elevate your audit strategy. Read more and learn how to turn compliance into confidence: 🔗 https://buff.ly/YdIHrzd #AuditReadiness #ComplianceConfidence #HealthcareFunding #NetworkBetter #FGInsights

4

99% compliance, up from 71.7%, after one EHR workflow change. At University of California San Diego Health, a pharmacist specific hard stop significantly improved REMS documentation without disrupting prescriber workflow. This simple, scalable intervention strengthens medication safety while reducing regulatory risk. Unlock the full article to learn how this workflow was built and how you can apply it in your practice: https://hubs.li/Q0461XXD0

5

With all the hoopla on AI models at Epic's UGM, the salient truth remains "good" data is a must for AI to deliver for Healthcare. Models won't perform unless the data they need to run on is appropriate, adequate, accurate, and "clean enough" for the use case they support. Just as a hammer and chisel wouldn't create a David out of a block of wood (Carrara marble and Michael Angelo were basic requirements), AI models will not generate their "Davids" without interoperability forming the solid (but unglamorous) foundation. Interoperability ensures data exchange at a level that truly supports these large AI models. Ashok Chennuru's insights, from a place of deep hands-on knowledge, is a must read for anyone thinking about "implementing AI" in healthcare. Solve interoperbility first, not as a box checking mechanism for meeting CMS0057, but broader. Then look at deploying at the many AI models that make healthcare proactive and preventative.

24

1 Comment

Is your digital health strategy strengthening rural systems—or quietly draining them? The Executive Quick Start Guide outlines how to build rural first regional digital health networks that: ✅ Expand specialty access without exporting patients ✅ Use telehealth, eConsults, and RPM with clear escalation rules ✅ Align multiple organizations around shared outcomes Designed for leaders responsible for regional alignment, not one-off pilots. 📘 Explore the guide https://lnkd.in/gNTPnxMn #RegionalHealth #HealthcareStrategy #RuralHospitals #Telehealth #PopulationHealth #DigitalHealth #RuralHealth #HealthcareLeadership #eConsults #RemotePatientMonitoring #SpecialtyCareAccess

5

💡 Your GPO is essential — but it's not the whole story. GPOs bring leverage and structure to healthcare sourcing. But when it comes to physician preference items (PPI), variation, and analytics, many health systems need more visibility and flexibility. That’s where Curvo comes in. Read this article to learn about: ⇢ Risks of Over-reliance on Single GPO ⇢ Leveraging Enriched Data to Complement GPO Arrangements ⇢ How to Fill Gaps in GPO Data and Sourcing Capabilities You don’t have to choose between your GPO and better insights — you can have both. See how Curvo complements your GPO to power smarter, faster sourcing. https://hubs.li/Q03x4-Jc0 #GPO #HealthcareSourcing #HealthcareSupplyChain #HospitalSupplyChain

4

Today’s Situation Report offers a roundup of the latest news in federal health policy like payers aligning with CMMI’s ACCESS model as questions emerge about financial viability, CMS ending its signature primary care model early, new FDA modernization proposals, the agency’s reversal to review Moderna’s flu vaccine, and insurers accelerating AI adoption for oversight.  We’re also sharing a new action opportunity: the EMERGE Initiative is gathering input on how changes to federal statistical data have affected researchers, practitioners, and policy work. If federal data disruptions have impacted your work, you can share your experience through their anonymous survey: https://lnkd.in/e5ppE3y5  Read more here: https://lnkd.in/e-fuihzN 

1

Delaware Health Information Network: A Giant Leap Towards Improving Patient Care and Saving Lives The healthcare industry is continuously witnessing technological advancements that pave new ways to enhance patient care as well as enhance the global digital healthcare system. Information Technology has been the reason behind some significant contributions to the healthcare industry with the proliferation of mobile technologies, telehealth services, electronic medical records, etc. Moreover, due to the demand for high quality and efficient healthcare, electronic health information exchange has been in demand as well. Although provider-patient communication will always be necessary, an electronic health information exchange helps to enhance the completeness of patient records. This can further help to make well-informed decisions and avoid medication errors. In the light of the above mentioned, it’s an honor for The Elite’s Review to introduce you to Delaware Health Information Network, an organization that aims at improving the quality, safety, speed, and cost of patient care. Let’s take a look at how the Delaware Health Information Network aims to move forward with its goals. https://lnkd.in/gVcnqAuH #TheElitesReview #trendingnow #BloggersOfInstagram #OnlineMagazine #StoryTellers #FeatureStory #ReviewPost #ViralContent #CreativeWriting #HotOffThePress #DigitalMedia #ContentCreators #WritingJourney #ExplorePage #NowTrending #mustread

1

If your physician contracts still live as static PDFs in a shared folder, you are fighting a 2026 problem with 2015 tools. Contract management is not just a back-office task. Rising operating costs, tighter margins, and increased regulatory scrutiny have pushed it into the center of financial and compliance strategy. We published a short article on 5 trends redefining healthcare contract management in 2026, including always-on audit readiness, plugging financial leakage, and using contracts as a frontline defense. Read it here ➡️ https://lnkd.in/gZzYvwDH #HealthcareCompliance #PhysicianContracts #HealthcareOperations #HealthcareLeadership #TimeSmartAI

4

Grateful and excited to (finally) share this news 🎉 Sound Physicians Long-Term Care Management ACO has selected Syntax Health to support their rapid expansion into value-based care across 20+ states. This partnership is especially meaningful — not just because of the scale, but because of what it signals: that even the most experienced ACOs need the right tools and team to make VBC contracts work better. At Syntax, we’re proud to bring actuarial intelligence to the frontlines of care delivery — helping organizations navigate complex contracts with clarity, speed, and confidence. Shoutout to the incredible teams at Sound and Syntax who are already rolling up their sleeves together. Let’s go! 💪🏾 #ValueBasedCare #ACO #HealthcareInnovation #ActuarialIntelligence #SyntaxHealth

199

75 Comments

CERTIFY Health Secures Series A Funding Round CERTIFY Health, a Gaithersburg, MD-based SaaS-based patient engagement platform, has secured a Series A funding round. #SaaS #Healthcare #PatientEngagement #PatientIntake #IdentityManagement #RevenueOptimization #HealthcareExperience #HealthTech #SeriesA #Funding https://lnkd.in/gqe9mx2f

11