CMS ACCESS Is Live. We Carry the Risk. You Keep the Patient.

CMS ACCESS launched July 5.

Every day unenrolled, more Medicare patients get recruited into ACCESS programs elsewhere, outside your clinical workflow. Story Health, powered by Innovaccer, is live in the first cohort. We identify your eligible patients, manage the program, and absorb the outcome risk. Your providers stay at the center.

CMS accepted Story Health into the ACCESS Model's first cohort across both Cardio-Kidney-Metabolic tracks. Story Health is already enrolling patients.

ACCESS is live and Story Health is already enrolling patients. New revenue, no new risk, starting now.

~$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.

Conditions addressed:

• 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.

Two ways to participate

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

Why Health Systems Choose Innovaccer

• 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.

Your Medicare patients will receive technology-enabled chronic care. The only question is who delivers it.