What's Happening?
The Centers for Medicare & Medicaid Services (CMS) has introduced the ACCESS model, aimed at improving care for chronic disease patients through technology-enabled services. Scheduled to begin on July 1, 2026, the model will test a recurring, outcomes-tied
payment system for organizations managing chronic conditions using telehealth, remote monitoring, and digital coaching. The initiative seeks to address payment gaps in traditional Medicare fee-for-service by incentivizing measurable health outcomes rather than service volume. Participants must be Medicare Part B-enrolled providers, comply with licensure and HIPAA requirements, and designate a physician clinical director. The model includes four chronic condition tracks, focusing on integrated management and measurable improvements in health outcomes.
Why It's Important?
The ACCESS model represents a significant shift in Medicare's approach to chronic disease management, emphasizing technology and measurable outcomes. By incentivizing health improvements, CMS aims to enhance patient care quality and reduce healthcare costs. The model's focus on rural providers could improve access to care in underserved areas, addressing disparities in healthcare delivery. This initiative may set a precedent for future healthcare models, encouraging broader adoption of technology in patient management and potentially influencing policy changes in chronic disease care.
What's Next?
CMS will begin accepting applications for the ACCESS model in Spring 2026, with the first performance period starting on July 1, 2026. Interested organizations must submit applications by April 1, 2026, to be considered for the initial cohort. CMS plans to provide detailed guidance and FAQs to support prospective participants. The agency will monitor participants' performance and may terminate those failing to meet quality standards. As the model progresses, outcome measure thresholds will increase, challenging participants to continuously improve patient care.
