CMS ACCESS Model: A Technology & Digital Health Company Playbook

The CMS ACCESS Model just opened Medicare to technology and digital health companies as direct Part B billers — paid for outcomes, not office visits. With official payment rates now published and the first performance period underway, more than 500 organizations have already filed intent to apply across a 10-year model runway.

This playbook walks through what changed, the published Outcome-Aligned Payment rates by clinical track (eCKM, CKM, MSK, and Behavioral Health), the six must-do priorities for getting Medicare enrollment, data infrastructure, and provider partnerships right, the revenue opportunity this unlocks, and the real industry concerns — like the 50% payment holdback and the fee-for-service billing overlap — companies should model before committing.

Download the Playbook:

CMS ACCESS Model: A Technology & Digital Health Company Playbook

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