STAT+: A major insurer on how it may replicate Medicare’s chronic-care experiment — SkimNews
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- Blue Shield of California is one of 17 major health plans that has committed to adopting payment models inspired by the Medicare Innovation Center's ACCESS Model for chronic care.
- Chief Medical Officer Ravi Kavasery said the insurer is still determining whether to use CMS payment amounts under the ACCESS framework.
- Kavasery added that Blue Shield has not yet decided which organizations it will partner with for the effort.
- The insurer, which serves 6 million members, expects to launch similar payment models in its commercial plans in 2027.
Why it matters: Blue Shield's 2027 launch would bring Medicare's ACCESS chronic-care experiment into commercial insurance at scale, with 6 million members whose care costs and provider networks will hinge on whether the insurer adopts CMS payment amounts and which partner organizations it ultimately selects.
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