Market intelligence for CMS ACCESS Model participants
Mock FHIR server demonstrating the CMS ACCESS Model enrollment workflow: eligibility checks, patient alignment, BCDA bulk claims, OAP measure reporting.
Model revenue impact across ACCESS tracks. Calculate gross revenue, withhold amounts, clinical penalties, and SSA exposure under different enrollment scenarios.
Operating system concept for ACCESS participants. Role-based views for CFO, CMO, VBC Ops, and Analytics personas with module navigation and status tracking.
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.