CMS、MedicareにおけるAIエージェントへの支払い経路を創設
CMSは10年計画のAccessプログラムを開始し、7月5日から、参加する150組織の慢性疾患管理を担うAIエージェントへの支払いを承認する。
cms implemented the access program on july 5, selecting 150 organizations to test a payment model that reimburses for ai agents managing chronic conditions including diabetes, hypertension, and mental health. this policy shift moves away from fee-for-service models, enabling payment for autonomous care coordination tools like pair team's voice agent flora, which handles intake and check-ins. the program prioritizes measurable health outcomes over required clinical activities, offering a new regulatory pathway for scaling ai in healthcare. early internal data from pair team suggests this approach reduces avoidable hospital and er visits by addressing social determinants of health alongside clinical needs.