CMS has accepted Story Health by Innovaccer as a technology partner for the ACCESS Model across the Early CKM and CKM tracks.

The Last Window: Innovaccer & the CMS ACCESS Opportunity

Explore the 2026 inflection point for Medicare chronic care, where ACCESS rewards technology-enabled outcomes, Big Tech scales consumer health in parallel, and first-movers define the terms of participation for the decade ahead.

Inside the Brief

The ACCESS Payment Architecture

How Outcome-Aligned Payments create recurring revenue across the four clinical tracks

The Consumer Health Market in 2026

Why Amazon, OpenAI, and Anthropic are converging on chronic care

The Competitive Implications

Where CMS policy and Big Tech strategy meet on Medicare attribution

The Strategic Reframe

Why ACCESS is a structural response to digital-native competition, not an incremental VBC step.

ACCESS represents the first CMS innovation model to pay for chronic care outcomes across a decade-long horizon, across the conditions that drive two-thirds of Medicare FFS spending, and through the FHIR and HIE infrastructure health systems already operate.
The timing is decisive on two fronts. Consumer health is scaling in parallel, and the organizations that enter the first cohorts will establish the attribution patterns, performance thresholds, and participant directories the rest of the industry will reference through 2033.

CMS has made the Medicare patient relationship contestable for the first time in a generation. Health systems still own the longitudinal data asset Big Tech is building toward. What they do with it over the next eighteen months determines whether they remain the managing entity for chronic care, or become downstream recipients of patients routed by AI intermediaries.

Abhinav Shashank

CEO & Co-founder
Innovaccer

Why Partner with Innovaccer for ACCESS

Partnership with Innovaccer gives health systems entry into ACCESS without the operational burden. Innovaccer holds the Part B participant enrollment and carries the full outcome risk. Participating organizations avoid the new infrastructure, compliance work, and payment-at-risk the model places on direct participants.
Health systems continue billing Medicare fee-for-service, earn co-management revenue on every referred patient, and retain every in-person care relationship. Clinical signals route back to the health system's EHR in real time, keeping physicians at the center of care rather than inside a black box.
Infrastructure is live today, built on the operating system already managing more than 80 million lives, and ready for the July 2026 launch.

The CEO Brief on CMS ACCESS and the Next Decade of Medicare Chronic Care

Explore what ACCESS creates, who is competing for the same patient population, and what the eight-year revenue picture looks like for health systems that participate and those that don't.

Value-based Care

Healthcare Experience

Provider Productivity