Can Payment Reform Transform Heart Failure Care?

The Ambulatory Specialty Model (ASM) announced by the Center for Medicare & Medicaid Innovation is proposed as a way to address heart failure care implementation gaps, while also having potential limiting features.

• Why it matters: Heart failure care implementation has gaps that are not fully resolved by existing approaches, motivating evaluation of whether ASM’s structure can improve real-world delivery.
• What they did: The Viewpoint outlines four categories of performance assessment under ASM and discusses ASM features that could constrain its ability to close implementation gaps in heart failure care.
• The result: The analysis suggests ASM may help target implementation issues, but its design could limit effectiveness, implying careful consideration of ASM features for heart failure delivery.

AI summary of the abstract · may contain errors · not medical advice · read the paper.