CMS ACCESS Model Readiness: Apply for Cohort 1 or Wait for Cohort 2?

Make a defensible CMS ACCESS cohort decision in under 10 minutes.

Built with inputs from health systems, ACOs, and CMS model operators preparing for 2026 participation.
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Healthcare organizations evaluating the CMS ACCESS Model face a high-stakes decision in 2026: apply for Cohort 1 or defer to Cohort 2, each with distinct operational, financial, and competitive implications.

Most available guidance explains how the model works. Very little helps leadership teams determine whether they are operationally ready to participate without exposing the organization to avoidable risk.

This executive guide gives you a scoring framework, decision matrix, and 90-day plan to determine whether Cohort 1 strengthens your position or exposes avoidable risk.

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Download the ACCESS Readiness Framework

A board-ready executive guide designed for organizations evaluating ACCESS participation in 2026.

Inside the guide:

• ACCESS readiness scoring framework designed for executive and board review
• Cohort 1 vs Cohort 2 decision matrix for executive alignment
• Board-ready evaluation structure for internal review
• 90-day readiness action plan based on your score
• Guidance on when ACCESS may not be the right move yet

Use this framework to determine whether early participation strengthens your position or exposes operational and financial risk. This framework is designed to help organizations enter ACCESS from a position of operational control, not timeline pressure.