ACCESS is a 10-year CMS payment model that will fundamentally reshape how Medicare pays for chronic disease management. Health systems that begin planning now will capture the full payment opportunity.
Applications due April 2026 means organizations thinking about applying are already starting their preparation today.
Design workflows, staffing models, and data infrastructure. Organizations that wait may struggle to earn full payments once the model is live.
CMS ACCESS applications are due. Demonstrate your organization's readiness with a proven technology infrastructure already in place.
ACCESS Model goes live. Early participants will already be capturing outcomes and building the foundation for sustained success.
ACCESS represents a fundamental shift toward outcomes-driven reimbursement. Early movers gain significant competitive advantages.
Hypertension, diabetes, heart failure, and depression/anxiety account for a large share of Medicare spending. ACCESS finally pays systems to manage these conditions continuously.
ACCESS performance will be made public by CMS. High-performing organizations will stand out to patients, payers, and partners while underperformance carries reputational risk.
CMS is clearly signaling a shift toward technology-enabled, outcomes-driven reimbursement. Early participants develop capabilities for future value-based contracts.
Success requires multidisciplinary care teams, continuous data streams, outcome tracking, and deeply integrated workflows. These take time to build right.
Hypertension, diabetes, and heart failure offer large, measurable improvement opportunities with clear evidence-based targets aligned with ACCESS payment structures.
Beneficiary copays for ACCESS-covered services are waived, reducing adoption barriers in Medicare populations and improving engagement rates.
ACCESS provides payments for managing these chronic conditions with outcome-aligned reimbursement.
Your ACCESS-ready remote care fabric: device-to-dashboard connectivity, EHR-embedded workflows, and AI-driven efficiency.
ACCESS payments depend on outcomes, and outcomes depend on continuous engagement. Validic embeds monitoring workflows directly in the EHR, automates data flows, and uses AI to summarize and triage data so clinicians can manage larger panels efficiently.
To earn full ACCESS payments, systems must prove measurable improvement. Validic centralizes blood pressure, glucose, weight, activity, and symptom data in the EHR, enabling baseline vs. follow-up comparisons and population-level reporting.
Many ACCESS-eligible patients lack reliable Wi-Fi or smartphones. Through integrations with cellular-connected device partners, Validic supports simple, low-friction onboarding for rural, digitally-limited, and high-risk Medicare beneficiaries.
Validic supports monitoring for hypertension, diabetes, heart failure, obesity, activity, sleep, and behavioral health, allowing health systems to run multiple ACCESS tracks from one unified infrastructure.
ACCESS envisions team-based care models. Validic's EHR-native approach lets nurses, pharmacists, care managers, physicians, and behavioral health clinicians all work from the same shared data and workflows.
Validic offers deep EHR-native integration with Epic and Oracle Health, so clinicians work inside the EHR they already use while Validic acts as the "outside-the-hospital" data and workflow engine.
Health systems that begin planning now will capture the full ACCESS payment opportunity, outperform peers in public reporting, and modernize their chronic-care infrastructure.