Resources
for You and Your Team
OIG Work Plan Targets Chronic Care Management: What Care Management Companies and Investors Need to Know
The OIG’s 2026 Work Plan includes a major audit of Medicare Chronic Care Management (CCM) services, focusing on eligibility, documentation, and vendor oversight. With rising Part B payments, regulators are targeting compliance risks tied to “multiple chronic conditions” requirements. This article outlines key audit triggers, common red flags, and how care management companies and investors can proactively strengthen compliance ahead of federal scrutiny.
Is the ACCESS Model the Secret to Tech-Driven Care Management Maintenance?
The Centers for Medicare & Medicaid Services ACCESS Model may seem like a reimbursement downgrade from traditional Virtual Care Management—but it could be the missing link in tech-enabled chronic care maintenance. Instead of rewarding episodic, labor-intensive interventions, ACCESS supports continuous, AI-enhanced oversight that keeps stabilized patients engaged and reduces readmission risk. Here’s why this shift could redefine scalability in value-based care.
2026 Medicare Final Rule Part 3: Rapid-Fire Q&A on FQHC and RHC Bundled Code Unbundling
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) face mandatory billing changes in the 2026 Medicare Physician Fee Schedule (MPFS) Final Rule. In Part 3 of our series, Stephanie Barnes and Sam Pinson break down the crucial compliance and billing updates that will affect virtual care and care management services in these settings.