ALYKA Health announced its selection as a participant in the Centers for Medicare and Medicaid Services ACCESS Model, a voluntary nationwide initiative designed to advance care management and improve outcomes for Medicare beneficiaries with chronic conditions. The selection follows a rigorous competitive review process.
The Medicare ACCESS Model tests an outcome-aligned payment approach in original Medicare to expand access to technology-supported care options. The voluntary program focuses on four clinical categories affecting more than two-thirds of Medicare beneficiaries: early cardio-kidney-metabolic conditions, later cardio-kidney-metabolic conditions, musculoskeletal, and behavioral health conditions. ALYKA Health will support patients managing two of these four tracks, including overweight, obesity, hypertension, high cholesterol, coronary artery disease, congestive heart failure, atrial fibrillation, and chronic kidney disease.
ALYKA’s participation is expected to begin July 5, 2026. As a participant, the company will deploy its mobile-first patient engagement platform to provide real-time health data insights, automated care gap identification, and personalized health engagement tools. The platform will be available 24/7/365 to identify and intervene in care gaps between clinic visits for populations where timely interventions have the greatest potential to reduce avoidable hospitalizations and improve quality of life.
Private payers representing 165 million members across Medicare Advantage, Medicaid, and commercial coverage have also committed to aligning with the ACCESS Model’s payment approach, with many beginning in 2026. All participating organizations must comply with strict guardrails including Medicare Part B enrollment, licensure compliance, data privacy standards, outcome reporting, and quality requirements. ALYKA plans to report program results with CMS over the model performance period and use learnings to refine its platform and contribute evidence-based insights to the value-based care community.
This article is an AI-assisted summary. All facts and figures are drawn from the original report: https://menafn.com/1111006387/ALYKA-Health-Selected-As-A-Participant-In-Medicare-ACCESS-Model-Expanding-Access-To-Value-Based-Digital-Health