Centers for Medicare & Medicaid Services to Launch Landmark ACCESS Program
By
Delaney Rebernik
June 30, 2026
Clinical Scorecard: Medicare & Medicaid Services Set to Introduce Innovative ACCESS Initiative
At a Glance
Category Detail
Condition Chronic conditions management
Key Mechanisms Technology-enabled care with outcome-based reimbursement
Target Population Medicare Part B beneficiaries
Care Setting Value-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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