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When CMMI released the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model, it did something the Innovation Center rarely does this narrowly. It built a payment experiment around specific measured outcomes. CMMI usually builds population-based payment incentives and bundled payments, with specific components around highly prevalent chronic conditions layered in rather than made the target.
That alone makes ACCESS worth your attention, because it could point toward broader fee-for-service reform. Can you pay specifically for moving a clinical measurement, and let the market figure out how to do it using scalable, low-variable-cost technologies?
The model gets a surprising amount right at the level of design intent. It also carries a handful of practical assumptions that, left unaddressed, will quietly decide whether anyone but the smallest digital-health startups can actually run it.