Original Medicare today
Connect eligible patients with HealthyConnect’s ACCESS care. HealthyConnect checks track eligibility and service availability, handles enrollment and delivers its ongoing care.
See how patients connect ↗WHY NOW · THE EXPANSION OPPORTUNITY
Start with Medicare today.
Build for the broader market.
Establish your patient connection and clinical review workflow with HealthyConnect now, positioning your organization for additional populations as payer arrangements become available.
HealthyConnect PLANNING ESTIMATES · SENIOR POPULATION REACH
Potential reach could double
as Medicare Advantage aligns.
Estimated share of the senior population with access to ACCESS or aligned payer offerings.
Year-end 2026Original Medicare ACCESS
January 1, 2028Including pledged MA plans · estimated
2× potential reach45 percentage-point increase in the HealthyConnect planning scenario
HealthyConnect management estimates, using the senior population as the denominator. The 2028 scenario assumes pledged Medicare Advantage plans implement ACCESS-aligned offerings. These figures describe potential payer access, not clinical eligibility, enrollment or HealthyConnect-contracted coverage; they are not CMS forecasts. Actual reach depends on plan implementation and benefits.
CMS payer pledge supports the alignment target; percentages are HealthyConnect estimates ↗
17Pledged payer organizations
165M+People represented by pledged payers
Jan 2028Target for aligned payment arrangements
165M+ describes the population represented by pledged payers—not confirmed eligible patients or HealthyConnect contracts. Coverage and HealthyConnect availability depend on the arrangements established.
CMS payer pledge and updated signatories ↗ · Source checked September 20, 2026
ONE EXPANSION PATH
NOW
Original Medicare
ACCESS care begins with four clinical tracks and a separate role for qualifying clinician co-management.
APR 1, 2027
More clinical needs
Announced additions: heart failure, COPD, substance use disorder, tobacco cessation and an MSK follow-on track.
JAN 1, 2028
Broader payer alignment
Pledge target spanning Medicare Advantage, Medicaid and private insurance.
TODAY’S OPPORTUNITY · TOMORROW’S EXPANSION
Broader payer arrangements as implemented
Medicare Advantage, Medicaid and private-insurance opportunities depend on the arrangements each payer establishes and the services HealthyConnect can provide under them.
See the pledged payers ↗Does ACCESS cover Medicare Advantage?
The CMS ACCESS model operates in Original Medicare. Medicare Advantage participation follows separate plan arrangements. Payer pledges point toward expansion; HealthyConnect confirms the applicable services and coverage before enrolling a patient under a plan arrangement.
WHAT PARTNERS CAN BUILD TODAY
A patient connection.
A clinical role. A repeatable workflow.
Connect appropriate patients
Establish a trusted introduction to HealthyConnect through text invitations or existing patient visits.
See ways to connect patients ↗Make updates useful
Agree where HealthyConnect’s care updates go and who handles clinical questions and coordination.
See care in action ↗Establish the review role
Enable eligible clinicians to review, coordinate, document and bill qualifying co-management.
Explore review economics ↗HealthyConnect’S VIEW OF THE INDUSTRY SHIFT
Continuous care can become
a larger part of everyday healthcare.
HealthyConnect sees outcome-aligned payment and broader payer interest as foundations for an emerging care category: ongoing support around the patient, connected to their existing clinical team.
Practices and specialists
Keep the clinical relationship while a specialized provider handles ongoing ACCESS care.
Pharmacies and therapists
Connect trusted patient relationships with continuing support and qualifying clinical coordination.
Health systems and networks
Establish a consistent connection between local providers, patients and HealthyConnect’s care team.
As payer arrangements develop, that experience could support additional populations. HealthyConnect would establish the services, contracts and delivery capacity for each expansion.
OFFICIAL CMS SIGNATORY LIST
The 17 pledged organizations.
- Arkansas Blue Cross and Blue Shield
- Blue Shield of California
- Blue Cross and Blue Shield of Minnesota
- Blue Cross Blue Shield of North Dakota
- BlueCross BlueShield of Tennessee
- CareFirst BlueCross BlueShield
- Centene
- Cigna
- CVS Health
- Devoted Health
- Guidewell
- Horizon Blue Cross Blue Shield of NJ
- Humana
- UnitedHealthcare
- Baylor Scott & White Health Plan
- TriWest Healthcare Alliance
- BCBS Rhode Island
CMS announcement and updated list ↗ · Payer signatories are distinct from ACCESS care-provider participants.
START WITH TODAY’S OPPORTUNITY
Build the relationship
for what comes next.
Bring your Original Medicare and Medicare Advantage population counts. Start with today’s eligible patients and identify the opportunity ahead. One-page setup request. No fee to become a HealthyConnect referral partner.