Exploring the Realities of Prior Authorization in Our Healthcare System
Bloom Value today announced that Blossom Ridge Medical Inc. has been accepted to the CMS Innovation Center’s ACCESS Model (Advancing Chronic Care with Effective, Scalable Solutions) toward participation in the program’s July 2026 launch, contingent on successful completion of all CMS model requirements.
Blossom Ridge has selected Bloom Value, a healthcare AI organization enabling execution of value-based care models, to operationalize key ACCESS requirements across eligibility tracking, outcome status orchestration, reporting readiness, and audit-defensible workflows—ensuring that outcomes are consistently measurable, reportable, and aligned with reimbursement.
The ACCESS Model is a national, multi-year CMS initiative designed to enable outcome-aligned, technology-supported care for Medicare beneficiaries with chronic conditions—while introducing new levels of transparency, measurement rigor, and auditability.
“The ACCESS Model represents a meaningful shift toward outcomes‑focused chronic care in Medicare,” said Dr. Glenda Agustin, Medical Director, Blossom Ridge Medical Inc. “Bloom Value’s orchestration software enables us to operationalize CMS requirements at scale—translating eligibility and measure status into clear, actionable visibility for provider teams, while maintaining the rigor and traceability that CMS expects.”
Bloom Value’s FAST platform is purpose-built to support execution integrity in value-based care models, focusing on:
Bloom Value provides the orchestration layer between CMS-defined requirements and provider execution—ensuring that every eligibility decision, status change, and reported outcome is traceable and audit-ready.
“Selection into ACCESS is the starting point—execution is what determines success,” said Arun Hampapur, CEO, Bloom Value. “We’re proud to support Blossom Ridge in operationalizing the model in a way that is consistent, traceable, and CMS-aligned.”
Bloom Value is a healthcare technology company leveraging AI and machine learning to enhance financial and operational performance. Our FAST® platform delivers advanced insights, empowering healthcare organizations like RBOs (such as IPAs, MSOs, ACOs) and health systems to boost margins, improve efficiency, and drive growth in the ever-evolving healthcare landscape. For more information, visit www.bloomvalue.com
Blossom Ridge Medical, Inc. is a medicare enrolled primary clinic in Sacramento, California.