What you get

Net-new revenue
$100
/
pmpy
with zero outcome risk
Continuous care for patients
>60%
Reduction in hospitalizations
ACCESS-ready infrastructure
Day 1
Fully operational, no internal build required.
Story Health Partners (SHP) is Innovaccer’s affiliated provider and will provide technology-enabled care supported by Innovaccer.
SHP will deliver care under the ACCESS model.
WHAT IS CMS ACCESS?

A Medicare program built around continuous chronic care.

CMS ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) is a 10-year CMMI model launching July 5, 2026.
Conditions:
Chronic Musculoskeletal Pain
Depression & Anxiety
Hypertension
Depression & Anxiety
Early Cardio-Kidney-Metabolic
Diabetes
Atherosclerotic Cardiovascular Disease
Recurring, outcome-aligned payments
Payment tied to measurable clinical improvement.
Continuous care
innovative technology-supported care that complements traditional care.
Long-term patient alignment
Patients voluntarily align to one ACCESS Participant per track. Once aligned, they cannot re-align elsewhere.
What Story Health DELIVERS

Story Health + ACCESS:  Earn More. Risk Less

New Revenue, Zero New Infrastructure
ACCESS can unlock a recurring payment stream from Medicare patients already under active care. Story Health acts as the ACCESS Participant, while referring practices earn co-management revenue.
Protect Your Patient Relationships
Digital health companies are actively enrolling Medicare beneficiaries now. Care coordination authority, referral influence, and visibility into care is lost once patients align with a competitor.
Ready from Day 1
ACCESS demands AI-enabled enrollment, longitudinal outcome tracking, adaptive care delivery and FHIR-integrated CMS reporting. Story Health by Innovaccer delivers all of it.
End-to-End CMS ACCESS Infrastructure

Every step of ACCESS, handled for you

Identify & Stratify
Surface eligible members, ranked by risk.
Unify clinical, claims, and RPM data into one longitudinal record. Assign AI-driven risk scores across all ACCESS-eligible populations and ensure each patient is enrolled in the right clinical track.
Enroll at Scale
Turn eligibility into enrolled lives
Automate multi-channel outreach across SMS, IVR, and email alongside EHR-embedded point-of-care referrals.
Monitor & Intervene
Deliver smarter care during and between every visit
Monitor patients continuously, surface AI-driven risk alerts and clinical decisioning within EHR-native workflows. Extend care capacity with dedicated coach-led intervention for optimal outcomes.
Measure & Earn
Hit performance targets and simplify CMS reporting
Track cohort performance through live dashboards, automate patient-reported outcome collection, and streamline payment reconciliation with FHIR-integrated CMS API submissions.
How we partner
Your Fastest Path to Winning in ACCESS
Story Health manages the program - patient enrollment, clinical delivery, CMS reporting, and outcome accountability. No additional headcount or operational burden needed on your end.
Investment
Zero upfront infrastructure build
Outcome -Risk
Zero
Patient relationships
Remain yours
Revenue
~$100 PMPY co-management while retaining FFS billing
CUSTOMER SUCCESS
Leading Health Systems Trust Story Health by Innovaccer to Manage Their Chronic Care Populations
"The AI agent for referral management has been very beneficial because what it takes all these referrals that are coming in with the different formats and different EMRs and pulls it all out and makes it a standardized format, which makes it a lot easier for our staff to be able to sift through a lot of this data. We've had about a 4x increase in efficiency per referral coordinator. What used to take six to eight minutes to do is now taking one to two minutes to do, and that's really helped with the flow,"

Gregory Byrd, MD
Managing Partner, Olympia Orthopaedic Associates
"Innovaccer is helping us lay the groundwork to accelerate ACO care transformation - point-of-care physician engagement is just the first step.”
Dr. James Barr
CMO, Optimus Healthcare
Why Health Systems Choose Innovaccer

Built for scale. Proven in practice.

Population Health Platform top-ranked by Black Book.
Patient lives connected through Innovaccer’s unified healthcare data platform.
Provider organizations operating on the Innovaccer platform today.
Reduction in heart failure hospitalizations delivered through Story Health by Innovaccer.

Common Questions

What is CMS ACCESS?
CMS ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) is a 10-year CMMI model launching July 5, 2026. The ACCESS Model tests an outcome-aligned payment approach in Original Medicare to expand access to new technology-supported care options that help people improve their health and prevent and manage chronic disease. The voluntary model focuses on conditions affecting more than two-thirds of people with Medicare, including high blood pressure, diabetes, chronic musculoskeletal pain, and depression.
What chronic conditions does ACCESS cover?
track
CONDITIONS
INITIAL PERIOD (PMPY)
FOLLOW-ON (PMPY)
Early Cardiometabolic (eCKM)
Hypertension, pre-diabetes, early-stage CKD
$360
$180
Cardiometabolic (CKM)
Diabetes, heart failure, CKD stage 3+, ASCVD
$420
$210
Musculoskeletal (MSK)
Chronic pain conditions
$180
No follow-on
Behavioral Health (BH)
Depression and anxiety
$180
$180
Early Cardiometabolic (eCKM)
conditions
Hypertension, pre-diabetes, early-stage CKD
INITIAL PERIOD (PMPY)
$360
INITIAL PERIOD (PMPY)
$360
Cardiometabolic (CKM)
conditions
Diabetes, heart failure, CKD stage 3+, ASCVD
INITIAL PERIOD (PMPY)
$420
INITIAL PERIOD (PMPY)
$210
Musculoskeletal (MSK)
conditions
Chronic pain conditions
INITIAL PERIOD (PMPY)
$180
INITIAL PERIOD (PMPY)
No follow-on
Behavioral Health (BH)
conditions
Depression and anxiety
INITIAL PERIOD (PMPY)
$180
INITIAL PERIOD (PMPY)
$90
Who is eligible to participate in ACCESS?
Eligible participants include health systems, physician groups, Accountable Care Organizations (ACOs), Federally Qualified Health Centers (FQHCs), and other Part B billing entities with Medicare Fee-for-Service beneficiary panels. Organizations can participate as a full ACCESS Participant or through a referral relationship with an established Participant.
What is the deadline to apply for CMS ACCESS?
Applications are accepted on a rolling basis. The first cohort deadline was April 1, 2026 for a July 2026 start. Subsequent cohorts can apply throughout the model duration, with new cohorts launching annually.
Can my organization participate in ACCESS if we are already in MSSP?
Yes. MSSP ACOs can participate in ACCESS. For 2026-2027, ACCESS Outcome Achievement Payments are excluded from your ACO’s benchmark calculation, providing an 18-month financial shield. Starting in 2028, ACCESS expenditures will be included in ACO benchmark calculations.
What are co-management payments in ACCESS?
Co-management payments compensate referring providers for reviewing and acting on clinical updates from the ACCESS Participant. ACCESS Model reimbursements are approximately $30 per service, with a $10 modifier for the initial onboarding visit. CMS compensates referring providers up to ~$100 per beneficiary per year through co-management billing, once every four months per track — while retaining their existing fee-for-service billing without new infrastructure or compliance obligations.
Why does beneficiary alignment matter for first-movers?
Beneficiaries voluntarily align to one ACCESS Participant per track and cannot re-align elsewhere.
How does Story Health support Referring Organizations in ACCESS?
Story Health offers an end-to-end program where Story Health Partners manages clinical delivery, continuous monitoring, and outcome tracking that will be shared with the aligned beneficiary’s primary care provider.
How long does it take to launch an ACCESS program with Story Health Partners
Organizations that refer to Story Health Partners can launch ACCESS programs in 60-90 days through the managed program model, compared to 12-18 months for organizations building infrastructure to participate directly.
How is Story Health Partners different from competitors?
Proven outcomes with Story Health
We have already delivered results on outcome-based chronic care management — this is not new for us.

EHR-native workflows
Clinicians work inside their existing EHR, not a separate app, driving higher adoption.

Data + Intelligence + Delivery in one
Most vendors do one piece. We do all three — no stitching together multiple tools.

Data Stewardship
We enable unified intelligence while keeping your data silo-protected, access-governed, and shielded from external digital health platforms.
Does Story Health integrate with Epic, Cerner, and other EHRs?
Yes. Story Health’s platform integrates with all major EHR systems — Epic, Oracle Cerner, MEDITECH, Athenahealth, and others — through HL7, FHIR, and direct API connections. Clinical data flows bidirectionally, ensuring providers maintain full visibility into beneficiary care within their existing workflows.
How do I learn more about ACCESS participation with Story Health Partners?
Visit innovaccer.com/cms-access or contact your Innovaccer representative. Organizations targeting Q1 2027 participation should begin application preparation now.