
Jared Augenstein, Senior Managing Director and Randi Seigel, Partner, Manatt provide an overview of CMMI’s new ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model – its strategic intent, operating design, and near-term decisions for large health systems.
They explain how ACCESS replaces activity-based payment with recurring Outcome-Aligned Payments tied to measurable improvements in chronic-condition outcomes; the initial clinical focus areas and patient enrollment pathways (direct-to-model enrollment and referrals); and the roles and requirements for participating Medicare Part B–enrolled organizations.
Also learn how ACCESS is designed to complement – not replace – traditional longitudinal care, including the new co-management dynamic (and related payment) for PCPs and referring clinicians, CMS monitoring and public reporting expectations, and the practical “CEO/CFO/CIO/CMO checklist” for readiness: financial modeling under outcome-linked payments, data/analytics and PROM capture, integration and interoperability, contracting and partner strategy (including how digital health organizations may participate), governance, and an application/timeline roadmap for organizations considering a July 1, 2026 start.
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