When CMS announced the Ambulatory Specialty Model (ASM) earlier this year, healthcare organizations across the country began evaluating what the new mandatory payment model could mean for their practices.
More recently, CMS issued additional clarifications regarding the preliminary participant list, including corrections to providers who had been inadvertently included. While these updates have understandably generated questions, they don’t change the broader direction of healthcare.
The details will continue to evolve. The direction won’t.
CMS continues to move specialty care toward greater accountability for quality, coordination, patient engagement, and long-term outcomes. Whether your organization ultimately participates in the ASM or not, the operational capabilities required to succeed in value-based specialty care are becoming increasingly important.
Why We Published This Guide
Earlier this year, CoachCare developed a practical introduction to the Ambulatory Specialty Model to help providers understand the program, prepare for operational changes, and begin thinking strategically about specialty value-based care.
Although CMS will continue refining program guidance over time, we believe the core concepts remain highly relevant for organizations preparing for the future of reimbursement.
Rather than waiting until every detail is finalized, organizations can begin strengthening the foundational capabilities that support success across a wide range of value-based care models.
These include:
- Longitudinal patient engagement
- Care coordination between visits
- Remote patient monitoring
- Clinical documentation and workflow support
- Outcomes reporting
- Scalable care management infrastructure
These capabilities extend beyond the ASM and represent the foundation for delivering high-quality specialty care in an increasingly value-based healthcare environment.
A Living Conversation
Healthcare policy continues to evolve, and CMS may issue additional guidance as the ASM program develops.
This guide reflects the information available at the time it was originally created and is intended as an educational resource—not legal or reimbursement guidance. CoachCare will continue monitoring developments related to the Ambulatory Specialty Model and publish additional educational content as new information becomes available.
Access the Guide
If you’re beginning to evaluate the Ambulatory Specialty Model or want a clearer understanding of how specialty value-based care is evolving, download our introductory guide.
Access the CoachCare Guide to the Ambulatory Specialty Model
