Innovaccer has been accepted by the Centers for Medicare & Medicaid Services (CMS) under Story Health Partners for participation in the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model, positioning the company for participation at the program’s launch in July 2026.
Innovaccer has been accepted across both the Early Cardio-Kidney-Metabolic (eCKM) and Cardio-Kidney-Metabolic (CKM) tracks, spanning hypertension, diabetes, chronic kidney disease (CKD), and cardiovascular disease—conditions affecting more than two-thirds of all Medicare beneficiaries. The CMS ACCESS Model establishes an outcome-aligned payment framework for technology-enabled chronic care, representing Medicare’s commitment to paying for outcomes rather than activity.
Innovaccer’s participation model is designed to be zero-risk for health system partners. Organizations continue billing Medicare fee-for-service without disruption, while Innovaccer delivers technology-enabled care and takes on outcome risk directly for specified chronic conditions. CMS pays Innovaccer; health systems earn new referral and co-management revenue without absorbing new infrastructure or compliance obligations.
For ACO participants, the model is designed to be complementary, as ACCESS patients remain attributed to the health system’s ACO, and program spend is excluded from ACO benchmarks for the first 18 months. Innovaccer also plans to expand into the Musculoskeletal and Behavioral Health tracks, positioning itself as a comprehensive chronic care management solution across all four ACCESS clinical tracks.
At the core of Innovaccer’s model is its end-to-end AI care orchestration platform, managing the complete patient lifecycle without adding operational burden to clinical teams. It identifies and risk-stratifies eligible Medicare populations, activates them through automated SMS, IVR, and email outreach, and enables providers to enroll patients directly from existing workflows. The platform manages program orientation, care plan goal-setting, baseline CMS submissions, PCP coordination, remote monitoring, medication optimization, and risk alert triage.
Central to Innovaccer’s differentiation is Adaptive Program Intelligence, a proprietary engine that dynamically adjusts intervention intensity based on each patient’s engagement and response patterns in real time. Throughout, patient relationships remain with the health system, and all in-person care is referred back to the health system’s provider network. Innovaccer can have eligible populations identified within weeks of onboarding.
This article is an AI-assisted summary. All facts and figures are drawn from the original report: https://www.financialcontent.com/article/bizwire-2026-4-13-cms-accepts-innovaccer-for-the-access-model-giving-health-systems-a-zero-risk-path-to-medicares-chronic-care-revolution