ACCESS Model
The ACCESS Model introduces new opportunities for how providers align with high-value digital health technology companies within multi-payer collaborations. But like many federal initiatives, the opportunity is only as strong as the execution behind it.
The difference with ACCESS is your patients can opt-in, unguided, without you.
Aligning stakeholders, redesigning care models, and building the infrastructure to support equitable outcomes at scale requires more than intent—it requires a coordinated strategy. That's where we come in.
Why should I participate in ACCESS?
We know providers, especially, have innovation model fatigue. However, with ACCESS, you don't want to miss out on revenue for things you already do.
You have three choices:
1. Ignore ACCESS and lose out on new revenue
2. Collaborate with ACCESS participants that you prefer
3. Become an ACCESS participant yourself
How We Support
We work alongside executive teams to navigate the complexity of ACCESS participation across four key areas:
Which strategic choice is best for your organization in the near-term and future? If you’re a provider, should you be a participant or a referring provider? If you’re a technology company, what do you need to plan for to be successful?
Ensuring incentive structures, financial models, operational capabilities and performance measurement approaches support long-term success.
Helping organizations assess readiness and define a clear path forward within the ACCESS framework for mutual success: participants, providers, and patients. The goal of ACCESS is integrated care. To truly succeed, there must be co-creation with providers.
Supporting the development of interoperable systems and data strategies that enable performance tracking and informed decision-making at scale and with meaningful clinical relevance. Ensure efficiency, effectiveness, financial sustainability, and reporting capture to keep the revenue.
Insights on the ACCESS Model
Provider FAQs: What You Need to Know Now that CMS ACCESS Has Launched
A provider FAQ on the CMS ACCESS model: how it works, who it covers, the financial case for participating, effort and costs, clinical evidence, and where to refer patients.
CMS ACCESS Model: A Technology & Digital Health Company Playbook
The CMS ACCESS Model opens Medicare to technology and digital health companies as direct Part B billers — paid for outcomes, not office visits. This playbook walks through what it takes to participate.
CMS ACCESS Model Participant Facts
A quick-reference overview of the CMS ACCESS Model — a new 10-year voluntary alternative payment model testing outcomes-based payment in Original Medicare, now underway with its first performance period.
Who This is For
This advisory is designed for leaders driving complex healthcare transformation, including:
*All ACCESS or potential ACCESS participants
Our Role
We bring together experienced healthcare executives with deep expertise in policy, operations, and system transformation.
Help leaders turn complex federal models into aligned, executable strategies that deliver measurable outcomes.
Start a Conversation
If you are evaluating how the ACCESS Model applies to your organization—or how to position for long-term success in value-based care—we welcome the opportunity to connect.
