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ACCESS: CMMI's tech-enabled chronic care model

CMMI is rewriting the rules of chronic care. ACCESS creates a new Medicare payment path for tech-enabled providers across four condition tracks and rewards outcomes (not volume).

What is the ACCESS model?

The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model is a voluntary, national, 10-year CMMI model that tests outcome-aligned payments (OAPs) for technology-enabled chronic care in Original Medicare. Rather than paying for discrete services or visit volume, CMS pays participating organizations based on measurable improvements in condition-specific outcomes over defined care periods.

ACCESS is organized around four clinical tracks: early cardio-kidney-metabolic (eCKM), cardio-kidney-metabolic (CKM), musculoskeletal (MSK), and behavioral health (BH). Within each track, participants are responsible for managing all qualifying conditions a beneficiary has, supporting integrated, longitudinal care.


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AFTER YOU READ THIS
  • You'll understand how ACCESS pays for condition‑specific outcomes over time.
  • You'll learn which organizations ACCESS targets and how the four tracks work.

AUTHORS

Joseph Heintzelman

Senior director, Provider actuarial, Optum

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