Main Library
The Centers for Medicare and Medicaid Services (CMS) Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model is a voluntary CMS Innovation Center initiative designed to improve outcomes for Medicare fee for service (FFS) beneficiaries with chronic conditions through technology-enabled care. CMS announced the initial cohort of over 150 ACCESS participants in April 2026. These participants reflect a diverse mix of technology-enabled care organizations, digital health companies, and provider groups that focus on delivering longitudinal, condition-specific management across early-stage and established cardio kidney metabolic, musculoskeletal, and behavioral health populations. The model launched on July 5, 2026, at which point the first cohort could begin enrolling Medicare beneficiaries. Additional organizations can still apply on a rolling basis and join starting January 1, 2027.
ACCESS uses a payment model tied directly to outcomes. Participants receive prospective payments linked to four clinical tracks (early cardio-kidney-metabolic, cardio-kidney-metabolic, musculoskeletal, behavioral health). Final payments are then adjusted in two ways.