What's Happening?
The Centers for Medicare & Medicaid Services (CMS) Innovation Center has introduced the ACCESS model, aimed at expanding technology-supported care for chronic diseases. Set to begin on July 1, 2026, the model will test a recurring, outcomes-tied payment
system for organizations managing chronic conditions through technology-enabled services like telehealth and remote monitoring. The initiative seeks to address payment gaps in traditional Medicare by incentivizing measurable health outcomes rather than service volume. Participants must be Medicare Part B-enrolled providers and comply with specific regulatory requirements. The model includes four chronic condition tracks, each with specific outcome measures, and offers increased reimbursement for rural providers to enhance access in underserved areas.
Why It's Important?
The ACCESS model represents a significant shift in how chronic disease care is delivered and reimbursed, emphasizing outcomes over service volume. This approach aligns financial incentives with patient health improvements, potentially leading to better care quality and efficiency. By incorporating technology-enabled services, the model supports modern, flexible care delivery that extends beyond traditional clinical settings. This is particularly important for managing chronic conditions, which require ongoing monitoring and intervention. The model's focus on rural providers also addresses disparities in healthcare access, ensuring that underserved populations can benefit from these advancements.
What's Next?
CMS will begin accepting applications for the ACCESS model in Spring 2026, with the first performance period starting in July 2026. Interested organizations must assess their readiness to meet participation requirements and manage patients across the specified tracks. CMS will provide detailed guidance and support to prospective participants, including FAQs and technical assistance. As the model progresses, CMS will monitor participant performance and adjust outcome measure thresholds to ensure continued improvement in care quality and patient outcomes.
