Market intelligence for CMS ACCESS Model participants
Concept review for the ACCESS payment calculator — model per-patient payments across tracks, withhold mechanics, and adjustments.
Estimate revenue from Remote Patient Monitoring CPT codes across an enrolled population, with adherence and duration assumptions.
Estimate revenue from Remote Therapeutic Monitoring CPT codes across an enrolled population, with adherence and duration assumptions.
Plan the provider channel for ACCESS / RPM market entry. Filter and rank providers by target beneficiaries, fit score, ACO status, and care-management activity, with a What-If projector for enrollment and revenue.
Track provider engagement across the channel — from first contact to enrolled patients and billed revenue — to manage and grow the active provider network.
Roll the provider target list up to the ACO organization level for enterprise channel targeting — rank ACOs by reachable beneficiaries, member providers, and fit to prioritize partnership outreach at scale.
See who else is serving these beneficiaries — direct vendors and incumbent care managers — how much of the market they hold, and whether they're growing, to gauge the vendor's opportunity and competitive risk.
Slice a market into segments and compare them on a shared metric set plus a clinical-trigger panel. Switch the segment axis (acuity routing, care received, complexity, ACO overlap), size vs. clinical-need bubble chart, and a Plan⇄Grow toggle.
Reconstruct how patients actually move through care from claims — an Observed Care Journey Map (Sankey with drop-off, step timing, and a volume⇄revenue toggle) and a Revenue Stack & Value Chain showing captured-vs-whitespace by rung with an own/build/partner/cede posture overlay.
Mock FHIR server demonstrating the CMS ACCESS Model enrollment workflow: eligibility checks, patient alignment, BCDA bulk claims, OAP measure reporting.