Act on ACCESS Now Before the Transition Reshapes Your Medicare Relationships

Earn referral revenue, protect FFS billing, and strengthen Medicare care relationships with Innovaccer's Population Health Operating System, built for continuous care, ready for ACCESS, and delivering outcome-focused care while absorbing outcome risk.
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~$100
PMPY incremental
revenue with zero outcome risk
50%
OAP withhold captured
with AI-driven care delivery
Day 1
Fully operational,
no internal build required
What is CMS ACCESS?

A program designed for chronic care outcomes, not just visits

CMS ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) is a 10-year CMMI model launching July 5, 2026. It introduces recurring revenue for organizations that use technology to measurably improve chronic disease outcomes. This is not an incremental billing code. It is a fundamentally new payment pathway that rewards results, not visits.
Hypertension
Diabetes
CKD
ASCVD
Chronic MSK Pain
Depression & Anxiety
Recurring, outcome-aligned payments
Payment tied to measurable clinical improvement - blood pressure reduction, HbA1c control, pain improvement, symptom reduction etc. Not volume, not number of visits, just results.
Technology-supported, continuous care
CMS explicitly mandates tech-enabled care - RPM, digital therapeutics, AI-driven coaching. Manual programs cannot break even under the ACCESS economics model.
Permanent voluntary patient alignment
Patients voluntarily align to one ACCESS Participant per track. Once aligned, they cannot re-align elsewhere. First-movers lock in their Medicare population.

Medicare is redirecting revenue. Be on the right side of it.

New Revenue, Zero New Infrastructure
ACCESS unlocks a recurring payment stream from Medicare patients already under active care. Innovaccer acts as the ACCESS Participant, while referring practices earn co-management revenue. No new contracts. No new overhead.
Protect Your Medicare Patient Base
Digital health companies are actively enrolling Medicare patients now. Care coordination authority, referral influence, and revenue are permanently lost once patients enroll with someone else. Secure the population before the window closes.
Ready from Day 1
ACCESS demands AI-enabled enrollment, longitudinal outcome tracking, and FHIR-integrated CMS reporting. Innovaccer delivers all of it, fully deployed and operational before the program launches. Practices show up ready.
End-to-End CMS ACCESS Infrastructure
From patient identification to CMS reconciliation
Turn medicare chronic care population into enrolled, managed, and measurably improved patients, with Innovaccer's outcome-focused managed program.
Identify & Stratify
Enroll at Scale
Monitor & Intervene
Track and Report Outcomes
Identify & Stratify
Surface risk early and activate the right patients, faster.
Unify clinical, claims, RPM, and PRO data into one longitudinal record, continuously scoring and assigning patients to the right ACCESS tracks, without operational overhead.
Enroll at Scale
Turn eligibility into enrolled medicare population
Activate automated multi-channel outreach across SMS, IVR, and email alongside EHR-embedded point-of-care referrals to enroll patients at scale.
Monitor & Intervene
Deliver smarter care during and between every visit
Monitor patients continuously, surface AI-driven risk alerts and clinical decisioning within EHR-native workflows, and extend care capacity with dedicated coach-led intervention for optimal outcomes.
Track and Report Outcomes
Hit performance targets and simplify CMS reporting
Track cohort performance through live dashboards, automate patient-reported outcome collection, and streamline payment reconciliation with FHIR-integrated CMS API submissions.
Two ways to participate
Close the gap between ACCESS readiness and revenue
Recommended
End-to-End Managed Program
Innovaccer manages the full ACCESS program - clinical delivery, patient enrollment, technology deployment, quality reporting, and outcome accountability. The organization earns co-management revenue with zero operational burden and zero downside risk.
Investment
Zero upfront capital
Risk
Zero downside exposure
Time to Value
Weeks, not months
Revenue
Referral while retaining
existing FFS billing
Platform License
The organization owns the ACCESS participation directly. Innovaccer provides the technology platform, implementation support, and analytics infrastructure. Clinical workflows, staff hiring, and outcome risk stay with the organization.
‍
Investment
Platform licensing fees
Risk
Complete risk ownership
Time to Value
Months, build required
Revenue
Full retention, full risk
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Why Health Systems Choose Innovaccer
Built for scale. Proven in practice.
80M+
Patient lives connected through Innovaccer’s unified healthcare data platform, enabling providers, ACOs, and payers to activate data for better decisions and outcomes.
120+
Provider organizations operating on the Innovaccer platform today, including large health systems, ACOs, independent and specialty practices, managing millions of value-based lives.
60%
Reduction in heart failure hospitalizations delivered through StoryHealth, Innovaccer's AI-powered specialty care platform, proven at scale across Medicare populations.
#1
Population Health Platform top-ranked by Black Book. 90%+ across every KLAS category. Clinical performance, data integrity, and enterprise security - all independently verified
The only partner you need to succeed in CMS ACCESS
Your Medicare patients will receive technology-enabled chronic care. The only question is who delivers it.
request a demo
request a demo