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Why the ACCESS Model Might Be Healthcare’s Cruelest Coordination Puzzle for ACOs and PCPs

The newest digital health forward model from CMS should create opportunities for ACOs, but has many pitfalls to avoid

23 hrs ago • Christian Pean MD, MS

December 2025

State of Health AI in 2025: Five Reads That Changed How I Think

And what I’m Watching in 2026

Dec 31, 2025 • Christian Pean MD, MS

Understanding TEMPO: FDA’s New Digital Health Pilot (with CMS ACCESS Model)

Have a Digital Therapeutic or remote care device but not FDA cleared? Check out the CMS TEMPO Pilot and how it connects to ACCESS

Dec 30, 2025 • Christian Pean MD, MS

CMS ACCESS Model’s Substitute Service Adjustment: Managing the “First-Step” Dilemma

How CMS defines duplicate services creates complexity, could foster friction, and is meant to drive true value-based care delivery

Dec 29, 2025 • Christian Pean MD, MS

The ACCESS Model: FHIR APIs

The Technical Foundation That Makes the new CMS "Digital Health" Model Possible

Dec 28, 2025 • Christian Pean MD, MS and Hadi Javeed

12 Days of ACCESS: The Medicare Beneficiary Journey

Technical deep-dive on patient flow, data requirements, and care coordination obligations

Dec 27, 2025 • Christian Pean MD, MS

How ACCESS Restructures Medicare Payment: Outcome Aligned Payments

Technical deep-dive on outcome-aligned payments and the dual adjustment system

Dec 26, 2025 • Christian Pean MD, MS

2:37

12 Days of Techy Surgeon: The ACCESS Model Opportunity, Tension, and the Question of Coordination

A video explainer on who wins, who waits, and what happens to patients in between

Dec 25, 2025 • Christian Pean MD, MS

2:25

The BALANCE Model: What CMS’s GLP-1 Model Means for Eli Lilly and the Future of Obesity Treatment

Decoding a pharmaceutical payment model that could reshape access to obesity treatment...or collapse under its own complexity

Dec 24, 2025 • Christian Pean MD, MS

🎄 No Coal in YOUR Stocking This Year (+ Christmas Special Inside)

Give yourself the Gift of Knowledge... (The Retrieval Augmented Kind)

Dec 23, 2025 • Christian Pean MD, MS

1:18

The Clinician-Founder’s AI Stack

How I compress the cycle from idea to artifact—and why generative UI is the modern memo

Dec 22, 2025 • Christian Pean MD, MS

The CMS ACCESS Model Locks Health Systems Out—By Design

My initial read on CMS’s new chronic care payment model and why it fundamentally differs from what most people assumed it would do

Dec 20, 2025 • Christian Pean MD, MS

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