Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model Summary

In early December, 2025, the Center for Medicare and Medicaid Innovation (CMMI, aka, Innovation Center) at CMS announced a new model – Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) – which is a national, voluntary, 10-year alternative payment model designed to test whether outcome-based payments for technology-enabled chronic care reduces expenditures while preserving or enhancing quality of care for Medicare fee-for-service beneficiaries. In connection with the ACCESS model, the Food and Drug Administration’s Center for Devices and Radiological Health announced its Technology-Enabled Meaningful Patient Outcomes for Digital Health Devices Pilot to promote access to certain digital health devices while safeguarding patient safety. The Request for Application for the ACCESS model was subsequently published on December 19, 2025, on the Innovation Center website and the application window opened on January 12, 2026.