Early metabolic and blood-pressure risk
Blood pressure, cholesterol, prediabetes and qualifying weight-related risk.
Explore this track →ACCESS · A NEW MEDICARE PAYMENT MODEL
Medicare has opened a new chapter in chronic care.
Your patients.
A connected care team.
ACCESS pays participating providers for ongoing, technology-supported chronic care, with payment tied to health outcomes. It opens the door to a specialized care partner alongside the clinicians patients already know.
This site explains what ACCESS changes, what it means for your organization, and how HealthyConnect helps you bring continuous care to your patients while preserving their existing clinical relationships.
HOW ACCESS CONNECTS THE CARE
One patient. Three connected roles.
HealthyConnect coordinates ongoing care, relevant monitoring and follow-through. Existing providers contribute clinical judgment through focused reviews.
01 · PATIENT EXPERIENCE
Connect. Participate. Keep your providers.
Use MyHealthyConnect, share progress and receive ongoing support.
$0 for HealthyConnect ACCESS care02 · HEALTHYCONNECTRun the care and administration.
Enroll, support, monitor relevant progress, coordinate updates and track outcomes.
HealthyConnect bills Medicare for its care03 · REVIEWING PROVIDERSReview. Coordinate. Document.
Assess what changed, take appropriate clinical action and preserve the existing relationship.
Bill for qualifying co-managementThe ongoing loop
Patient progress → HealthyConnect care update → provider review and coordination → HealthyConnect and practice follow-through → updated patient plan
HealthyConnect’s deployment model. Care intensity follows patient needs; HealthyConnect retains clinical responsibilities as the ACCESS care provider.
How this differs from CCM and RPM
| Model | Organizing principle |
|---|---|
| ACCESS | Condition-focused, technology-supported care with outcome-aligned payment and separate qualifying co-management reviews. |
| CCM | Chronic-care management billed under defined service and time requirements. |
| RPM | Physiologic monitoring with device-data and management-service billing requirements. |
CCM and RPM can involve substantial recurring management work. Across all three models, the level of clinical support follows the patient’s needs.
01 · THE PATIENT EXPERIENCE
Support between visits. Your existing providers stay.
Connect directly or through a trusted provider. HealthyConnect checks eligibility and helps the patient get started.
WHO IS ACCESS FOR?
Which of your patients could benefit?
Patients whose chronic conditions need attention between appointments. The current Medicare model serves eligible people with Original Medicare.
Diabetes, kidney and cardiovascular disease
Diabetes, qualifying kidney disease and atherosclerotic cardiovascular disease.
Explore this track →Persistent muscle, joint or back pain
Chronic muscle, joint or back pain.
Explore this track →Depression and anxiety
Depression or anxiety.
Explore this track →Announced for April 1, 2027: heart failure, COPD, substance use disorder and tobacco cessation.
HealthyConnect confirms individual eligibility and available services. See who qualifies and how care helps →
WHAT PATIENTS GET · FREE MYHEALTHYCONNECT ACCESS
Your health information.
With you wherever you go.
Free on your phone, tablet or computer. MyHealthyConnect brings available health records, medications, care plans and readings together so patients can find their information between visits and take it into their next conversation.
Your health story
Patient Journey, conditions, encounters, immunizations and diagnostic reports.
Your everyday care
Care plan, medications, allergies, vitals and device readings.
Your care connections
Existing providers and insurance information, alongside your health records.
One place to see more of your health picture. Available information depends on connected sources and records received.
INSIDE MYHEALTHYCONNECT · DESKTOP VIEW
Keep existing providers connected.
Patients can review their care team, confirm existing providers and add a provider.
02 · HealthyConnect’S CARE & ADMINISTRATIVE WORK
HealthyConnect carries the ongoing operation.
Eligibility, consent, enrollment, patient support, care coordination, relevant monitoring, clinical updates and model reporting—with HealthyConnect billing Medicare for its care.
THE OPERATION BEHIND THE OPPORTUNITY
Care experience. A patient connection. A focused review.
8,500 patients
In HealthyConnect’s existing care-management services. HealthyConnect-reported September 11, 2026; separate from ACCESS enrollment.
See the patient experience
Explore captured MyHealthyConnect screens for records, care plans and patient progress.
View the product screens →See the proposed clinician workflow
Review the illustrated workspace, then confirm the supported delivery method with HealthyConnect.
View the review panel →A SPECIALIZED PROVIDER ROLE · THE ACCESS PARTICIPANT
An entire care operation alongside your practice.
An ACCESS participant is a Medicare-enrolled organization accepted into the CMS model to deliver care and take responsibility for defined health outcomes. HealthyConnect’s approach puts care coordination, patient support and connected clinical information at the center.
HealthyConnect’s view: this is the foundation for a new category of continuous care. Practices and ACOs can connect patients to a dedicated care operation while their existing clinicians remain involved.
Read the CMS ACCESS model ↗ · See how care works through HealthyConnect ↗
WHAT HEALTHYCONNECT BRINGS TO ACCESS
Scattered data.
A current patient story.
Connect outside records, medication history, home readings and care-team updates into a useful view for the clinician.
THE HEALTHYCONNECT HUB-AND-SPOKE MODEL
One connected patient story.
A whole ecosystem around it.
HealthyConnect connects the patient’s ongoing support with the people and organizations involved in their care. Each partner brings its own expertise; shared updates and agreed handoffs keep care connected between visits.
Primary careLongitudinal clinical relationship
SpecialistsCondition-specific expertise
TherapistsFunction, recovery and behavioral health
PATIENT + HEALTHYCONNECT
Continuous care hub
Care team · patient support · connected information
MyHealthyConnectA current patient story, shared with the care teamPharmaciesMedication support and local connection
Health systems & IPAsConnected networks and care transitions
FQHCs & RHCsCommunity access and trusted local care
HealthyConnect deployment model: connections reflect each patient’s care team, permissions and available integrations.
Explore how the care operation works ↗03 · THE REVIEWING PROVIDER’S ROLE
Your judgment connects the care.
Receive the update, assess the change, perform qualifying coordination and document the work. HealthyConnect’s ongoing operation supports this focused contribution.
THE HEART OF ACCESS
A focused clinical role.
Separate payment for qualifying work.
Patients connect directly or through a provider. HealthyConnect confirms eligibility and enrolls them. HealthyConnect ACCESS care has no patient charge.
ILLUSTRATIVE FIRST-YEAR REVENUE
$267per review hour*
A paid clinical role in the care your patients receive between visits.
3qualifying reviews per year
×7.5 minmodeled time per review
=22.5 minmodeled annual review time
$100 ÷ 0.375 hours ≈ $267/hour
$90 for three reviews + $10 for qualifying initial onboarding.
5 minutesCMS minimum for review + coordination
$90–$100/yearNational base payment per patient, per track
$240/hourReview-only illustration: $90 ÷ 0.375 hours
ACO ALIGNMENT · 2026–2027
CMS anticipates no ACO calculation impact from ACCESS care payments.
For the Medicare Shared Savings Program and ACO REACH, CMS anticipates no impact from ACCESS outcome-aligned payments on benchmark and performance-year calculations in 2026 and 2027. These payments enter the calculations beginning in 2028.
CMS explanation ↗*Illustrative gross revenue per modeled review hour, not an hourly billing rate or profit estimate. Assumes three completed qualifying reviews for one patient and one track, plus qualifying initial onboarding. The 22.5-minute denominator covers review and coordination only; onboarding, billing and other administrative time are additional. Actual payments reflect practitioner type, geography and applicable adjustments. Pharmacy eligibility begins October 1, 2026 under CMS requirements.
ONE REVIEW. A CLEAR NEXT STEP.
See how the work closes out.
Illustrative workflow: HealthyConnect identifies a medication question and sends the relevant patient context.
HealthyConnect prepares
Assemble the change, available readings and the question needing clinical judgment.
Your clinician reviews
Assess the update, complete qualifying coordination and document the decision and time.
The right team acts
Practice staff arrange a requested visit. HealthyConnect follows up on agreed patient-support tasks.
The loop closes
Record the response and next step. Unresolved questions return to the named clinical contact through the agreed escalation route.
Choose your organization
READY WHEN YOU ARE
One request. A defined next step.
Tell HealthyConnect who you are and how your organization wants to connect patients. No fee to become a HealthyConnect referral partner.
HealthyConnect follows up to agree the introduction method, clinical update recipient and next actions. Standard referral setup has a two-hour target once the required details and contacts are available; integrations and network deployments are scoped separately.