Centers for Medicare & Medicaid Services to Launch Landmark ACCESS Program - Scorecard - MDSpire

Centers for Medicare & Medicaid Services to Launch Landmark ACCESS Program

  • By

  • Delaney Rebernik

  • June 30, 2026

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Clinical Scorecard: Medicare & Medicaid Services Set to Introduce Innovative ACCESS Initiative

At a Glance

CategoryDetail
ConditionChronic conditions management
Key MechanismsTechnology-enabled care with outcome-based reimbursement
Target PopulationMedicare Part B beneficiaries
Care SettingValue-based care initiatives

Key Highlights

  • ACCESS model incentivizes providers based on patient outcomes.
  • Over 150 digital health companies are participating.
  • Initial clinical tracks include hypertension, diabetes, and depression.
  • Payment structure includes monthly payments with outcome reconciliation.
  • Concerns exist regarding patient safety and provider retention.

Guideline-Based Recommendations

Diagnosis

  • Participating organizations must manage all qualifying conditions in their track.

Management

  • Utilize technology-enabled interventions to improve patient outcomes.

Monitoring & Follow-up

  • Monthly payments withheld for outcome reconciliation at the end of the care period.

Risks

  • Potential risks to patient safety from unproven technologies.

Patient & Prescribing Data

Medicare Part B beneficiaries with chronic conditions.

Focus on integrating technology to enhance traditional care.

Clinical Best Practices

  • Leverage tools for cognitive behavioral therapy to manage mental health conditions.
  • Ensure strong protections and human guidance in technology-enabled interventions.

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