ASM starts in 2027. Get your practice ready now.
The Ambulatory Specialty Model is a new, mandatory CMS model for cardiologists treating heart failure and specialists treating low back pain. We prepare and validate your data, guide your team through every requirement and support you all the way to submission.
A mandatory CMS model for specialists, with real money attached.
ASM runs for five performance years, from 2027 through 2031. It applies to specialists in selected areas who see at least 20 qualifying Medicare heart failure or low back pain episodes a year. Participants are scored on four categories and are exempt from MIPS while in the model. Payment adjustments start at up to ±9% on Medicare Part B and rise to ±12% in later years.
The stakes grow every year of the model.
Everything ASM asks of your practice, covered.
Participation & exceptions
We confirm whether ASM applies to you and support any exception requests.
Collaborative care arrangements
We help you set up and document the arrangements ASM requires with primary care.
Data preparation & validation
We prepare and check your quality data, so it's accurate before it reaches CMS.
Submission support
We build your submission and guide your team through submitting it in the QPP portal.
Improvement Activities & Interoperability
We plan and document the activities and EHR measures you'll be scored on.
Provider training
Short, practical training so providers and staff know what changes and when.
Cost measure education
We explain how episode-based cost measures work and what tends to drive them.
From confirmation to submission, step by step.
Readiness review
We confirm your participation and map what ASM asks of your practice.
Setup
Care arrangements, activities and data workflows put in place early.
Year-round support
Training, data checks and a support team on hand through the year.
Submission
We prepare and validate your submission. Your practice submits, with us alongside.
Not sure if ASM applies to you?
Book a readiness call. We'll check your specialty, location and Medicare volume against the ASM criteria.
Practices that trust Flow8 as a partner.
Who has to take part in ASM?
Cardiologists treating heart failure, and anesthesiology, pain management, interventional pain management, neurosurgery, orthopedic surgery and physical medicine and rehabilitation physicians treating low back pain. They must practice in a selected area and have at least 20 qualifying Medicare episodes a year. For those who qualify, participation is mandatory.
When does ASM start?
The first performance year begins January 1, 2027. The model runs for five performance years, through December 31, 2031.
How does ASM affect MIPS?
Physicians in ASM are exempt from MIPS for those performance years. ASM uses a smaller, condition-focused set of measures built on the MVP framework.
How much payment is at stake?
Adjustments range from -9% to +9% on Medicare Part B payments in the first two payment years (2029 and 2030), rising to -12% to +12% by the final year.
Do you submit our data to CMS?
Your practice submits through the CMS QPP portal. We prepare and validate the data, build the submission and support your team through it, so it goes in complete and accurate.
How is ASM support priced?
Per provider, per performance year. Practices with several providers can request a custom quote.
Related solutions
All solutions →Get ready for ASM before it starts.
Tell us your specialty and location, and we'll confirm whether ASM applies to you and what to do next.