ASM isn't optional. Neither is your strategy.
Cardiologists and lower-back-pain specialists are now enrolled in a five-year payment model. Your performance on quality measures determines a ±9% adjustment on all your Medicare Part B revenue. We built our program around your exact scored measures.
What ASM actually is.
The Ambulatory Specialty Model (ASM) is a mandatory five-year CMS payment model beginning January 2027. It applies to ~8,600 cardiologists managing heart failure and ~6,800 specialists managing low back pain.
Unlike voluntary programs, there is no opt-out. Selected specialists are enrolled by CMS based on patient panels and geography.
Performance is scored across quality measures, cost, interoperability and improvement activities. Final score drives a positive or negative adjustment of up to ±9% on Medicare Part B reimbursement two years later.
Built around your exact measures.
CHF cohort
ASM scores cardiologists on heart-failure quality measures, cost trajectory, and patient experience. Our CHF program was built by a Cardiology NP with home-care experience.
- Beta-blocker therapy for LVSDCCMMed rec + adherence at every CCM touch
- ACE/ARB/ARNI for LVSDCCMPharmacy coordination + uptitration support
- BP control (<130/80)RPMDaily RPM with threshold escalation
- Weight monitoringRPMDaily RPM scale + 2 lb/day rule alerts
- KCCQ-12 PROBothQuarterly administration, structured data return
- 30-day readmissionBothTCM + RPM surveillance in vulnerable window
LBP cohort
ASM scores LBP specialists on functional outcomes, opioid stewardship and behavioral health integration. Our RTM program captures every required PROM.
- PROMIS-PF functional statusRPMRTM-captured at baseline and intervals
- Opioid risk screening (ORT)CCMDocumented at intake; ongoing PDMP review
- Depression screening (PHQ-9)CCMRoutinely re-administered; warm BH handoff
- Imaging stewardshipCCMDecision-support adherence tracking
- Functional restoration planBothPT/conservative-first pathway documented
- Patient-reported pain (NPRS)RPMCaptured longitudinally via RTM
Basic or Enhanced. No upfront cost either way.
Your team handles the patient-facing clinical work; we provide platform, protocols, devices, billing infrastructure and oversight.
- Full disease-specific protocols and pathways
- Cellular RPM devices, fulfillment, onboarding
- Billing capture, documentation, audit defense
- ASM-mapped measure tracking and reporting
- Quarterly performance review with our clinical team
Our clinical team delivers the program end-to-end. You retain attribution, scoring credit and revenue share — without adding headcount.
- Everything in Basic, plus:
- Our clinical team makes the CCM/RPM calls
- Disease-specific care plans authored and maintained
- Threshold alerts triaged before reaching your inbox
- Cardiology NP oversight for CHF cohort
- Quarterly ASM performance optimization
Both tiers are revenue-share only. We get paid when you do. Your incentives and ours are aligned from day one.
Let us show you the difference.
One conversation. No commitment. Just clarity on what's possible for your practice — and a clear plan before ASM launches in January 2027.