Healthcare providers struggle to adapt billing and care delivery systems to rapidly changing CMS payment models

Healthcare organizations face urgent pressure to restructure their operations as CMS continuously expands outcomes-based payment models like ACCESS to new chronic conditions, affecting 75% of Medicare beneficiaries by 2027. Providers lack integrated software solutions to track patient outcomes, manage multiple payment tracks simultaneously, and ensure compliance with evolving regulatory requirements, forcing them to manually coordinate between legacy billing systems and new value-based care frameworks. Current EHR and practice management systems weren't designed for outcomes-based reimbursement, leaving providers unable to efficiently capture the data needed to optimize payments under these models.