• CMS ACCESS shifts Medicare reimbursement from fee-for-service billing to outcome-based payments
• Providers are paid for managing chronic conditions over time instead of individual visits or procedures
• The program focuses on chronic conditions like hypertension, diabetes, CKD, musculoskeletal conditions, and behavioral health
• Payments are tied to clinical outcomes across a 12-month care period
• Remote Patient Monitoring (RPM) supports ACCESS by enabling continuous data collection, between-visit monitoring, and patient engagement
• Unlike traditional RPM programs, ACCESS emphasizes long-term outcomes rather than CPT code billing and time thresholds
• Financial risk is capped, making the model more manageable for participating providers
• ACCESS reflects CMS’s broader push toward value-based, technology-enabled care delivery

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