Ambulatory Specialty Model (ASM)
The Ambulatory Specialty Model (ASM) will fundamentally change how specialty care is measured, compared, and reimbursed. Performance won’t count until 2027, but the organizations that perform best will use 2026 to prepare, validate, and correct course using real data, not assumptions.
Healthmonix helps large health systems and specialty organizations prepare for ASM with:
- Eligibility determination
- Readiness assessments
- Consulting
- Predicted scoring based on actual performance data
ASM requires a different approach
ASM isn’t simply another reporting program. It introduces:
- Specialty-specific measurement and benchmarking
- Increased focus on clinician-level performance
- Greater reliance on accurate attribution, coordination, and documentation
- Direct financial and reputational impact for underperformance
For large, complex organizations, the risk isn’t just poor scoring. It’s discovering problems too late to fix them.
Why 2026 matters
Waiting until 2027 means reacting under pressure. Preparing in 2026 allows you to:
- Determine eligibility and likelihood of ASM participation
- Prepare for quality reporting on ASM-specified measures
- Identify data gaps, workflow breakdowns, and attribution risk early
- Understand financial impact before performance counts
- Train clinicians and staff ahead of required change
The strongest performers will treat 2026 as a dress rehearsal using real data.
What Healthmonix delivers
ASM eligibility and readiness assessment
We start with clarity. Our readiness assessment evaluates whether and how ASM will affect your organization, including:
- Eligibility determination and participation risk
- Readiness for individual clinician-level scoring
- Measure feasibility and reporting preparedness
- Promoting Interoperability (PI) compliance
- Evaluation of patient-reported outcome (PRO) infrastructure
- Data completeness, attribution, and operational risk
The outcome: You have a clear, executive-level readiness roadmap with prioritized actions.
Consulting and operational readiness
ASM success depends on coordinated care and execution — not just reporting. Our consultants work directly with your teams to:
- Evaluate and update care coordination workflows
- Assess and strengthen arrangements with primary-care partners
- Align documentation, discharge, and follow-up processes
- Standardize workflows across clinicians and sites
- Train staff and clinicians on ASM expectations and performance drivers
This is hands-on support designed for large, multi-stakeholder environments.
Predicted scoring and financial impact using real data
Build confidence for ASM participation. Using your actual clinical and claims data, Healthmonix provides:
- Predicted ASM performance insights based on 2026 data
- Early identification of score loss risk and improvement opportunity
- Visibility into clinician, facility, and site-of-care variation
- A clear view of financial impact under ASM scenarios
This allows leadership to act early, before CMS scores are final.
Built for large, complex organizations
Healthmonix is trusted by organizations managing:
- Multiple specialties and service lines
- Multiple EHRs and fragmented data sources
- Large clinician populations and distributed care models
- Existing MIPS, MVP, ACO, and other CMS program participation
Our approach is designed to work across Quality, IT, Finance, and Operations — not just 1 department.
Start with clarity
Organizations that succeed under ASM won’t guess. They’ll measure, predict, and prepare.
- Request an ASM readiness assessment
- Understand your eligibility and financial exposure
- See what your ASM performance is trending toward
