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Ambulatory Specialty Model (ASM)

Ambulatory Specialty Model (ASM)


The Ambulatory Specialty Model (ASM) is a value-based care program focused on improving outpatient specialty care delivery by aligning clinical outcomes, cost efficiency, and patient-centered care across targeted episodes of care. ASM emphasizes upstream management of chronic conditions and rewards specialists for preventive care, early risk identification, and coordinated disease management.


ASM concentrates on care for conditions with significant clinical and economic impact, such as heart failure and low back pain, that are frequently treated in ambulatory settings. By promoting timely intervention, careful management of disease progression, and avoidance of unnecessary procedures or hospitalizations, ASM supports better patient outcomes while aiming to reduce overall healthcare costs.


A core feature of ASM is its emphasis on collaboration and care coordination. The model encourages specialists to work more closely with primary care providers and other members of the care team to support holistic patient care pathways. This collaborative approach enhances continuity and drives better health outcomes, particularly for patients with complex chronic conditions.


ASM also incorporates a performance measurement framework that assesses clinicians on multiple dimensions of care, including quality, cost management, improvement activities, and data interoperability. Performance insights promote transparency and support continuous quality improvement while aligning specialist practice behaviors with broader value-based care goals.


Overall, ASM represents a strategic effort to evolve specialty practice models toward outcome-driven, cost-conscious, and patient-focused ambulatory care, expanding the reach of value-based frameworks beyond primary care and traditional hospital settings.



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