decisionhealth Newsletters, Part B News - 2026 Issue 1 (January)
ACCESS program gives outcomes-based payment for tech-forward chronic care
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Article Overview
This article covers CMS’s new ACCESS model for technology-supported chronic care under Medicare. It explains the program’s purpose, participation structure, application timing, eligible care tracks, and the role of technology-enabled care coordination for providers, vendors, and beneficiaries. It is relevant for physicians, health systems, ACOs, care-management teams, and organizations evaluating Medicare value-based payment opportunities.
Why This Topic Matters
The program may affect how chronic care is delivered, coordinated, and reimbursed for Medicare patients, especially for organizations investing in remote monitoring, data exchange, and other technology-supported care workflows.
Article Sections
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CMS announces the ACCESS model
Introduces the new CMS innovation model, its purpose, and the overall direction of the payment approach for chronic care management.
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Program timing, eligibility, and applications
Covers the rollout timeline, application process, and the types of provider entities and suppliers that may be included or excluded.
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Outcome-aligned payment structure
Describes how the model is intended to support chronic care based on clinical progress and technology-supported services across multiple care tracks.
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Participate, or partner
Summarizes how technology vendors, provider partners, and care teams may fit into the model and how care coordination is organized.
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Who’s in?
Discusses practical considerations for providers evaluating participation, including care coordination, technology readiness, and organizational fit.
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Resources
Lists CMS source materials and related program documents referenced by the article.
What You Will Learn
- What the ACCESS model is designed to change in Medicare chronic care payment
- How the program’s participation and application process is structured
- Which broad chronic care categories are included in the model
- How technology-supported care and coordination factor into participation
- What types of provider organizations may be positioned to participate
Who Should Read This
- Physicians
- Health systems
- Accountable care organizations
- Care management teams
- Medical practice administrators
- Health policy professionals
- Technology vendors serving healthcare
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