Ongoing care.
Direct Medicare payment.
- Enroll and support eligible patients
- Deliver ACCESS care and track outcomes
- Share useful updates with existing providers
HealthyConnect bills Medicare for its ACCESS care.
COMPARE CARE AND PAYMENT MODELS
HealthyConnect delivers the ongoing care.
Your practice stays connected—and can earn clinical review payments.
With ACCESS through HealthyConnect, HealthyConnect delivers the ongoing care and bills Medicare directly. Your team keeps its clinical relationship and can earn separate payment for qualifying review and coordination.
ACCESS ties the care organization’s payment to measured outcomes. HealthyConnect operates its care service and bills Medicare directly, while eligible clinicians bill separately for qualifying co-management.
TWO ROLES. TWO PAYMENT PATHS.
HealthyConnect carries the care operation.
Your clinical contribution has its own payment.
Ongoing care.
Clinical review.
Separate Medicare payment.
- Review the patient’s ACCESS care update
- Complete qualifying care coordination
- Document the work and bill Medicare
Your team bills for its qualifying co-management.
$267Estimated gross revenue per modeled review hour
$100 in illustrative first-year payments ÷ 22.5 modeled review minutes. Includes $90 for three qualifying reviews and $10 for qualifying onboarding.
The time estimate covers three 7.5-minute reviews; onboarding, billing and other administrative time are additional. Actual payments vary with practitioner type, geography and applicable adjustments.
See the calculation and review requirements ↗WHAT EACH APPROACH ORGANIZES
ACCESS
Care for qualifying condition tracks, organized around measured outcomes.
CCM
Chronic Care Management: comprehensive coordination for multiple chronic conditions.
RPM
Remote Patient Monitoring: physiologic measurements supporting treatment.
RTM
Remote Therapeutic Monitoring: therapy-related information supporting treatment management.
What changes for your organization?
The ACCESS column describes HealthyConnect’s service. CCM, RPM and RTM describe Medicare service categories; staffing and outsourcing arrangements vary by provider.
| Question | ACCESS through HealthyConnect | CCM | RPM | RTM |
|---|---|---|---|---|
| Who delivers and manages care? | HealthyConnect delivers ACCESS care, manages enrollment and patient support, tracks outcomes and reports to CMS. | The billing provider organizes comprehensive care management, using its own team or contracted support. | The billing provider organizes physiologic monitoring, device support and clinical response. | The billing practitioner or therapist organizes therapeutic monitoring and treatment management. |
| What supports payment? | Outcome-aligned participant payments to HealthyConnect; separate payments for qualifying clinician co-management. | Required care-management services and applicable code and time requirements. | Applicable device, data and treatment-management requirements. | Applicable setup, device/data and treatment-management requirements. |
| What does the patient pay? | No charge for HealthyConnect ACCESS care. CMS permits uniform cost-sharing waivers; HealthyConnect elects to offer its service free. | Part B deductible and coinsurance generally apply; other coverage may help. | Part B cost-sharing generally applies; actual liability depends on coverage. | Part B cost-sharing generally applies; actual liability depends on coverage. |
| How does care begin? | The patient connects directly or through a provider. HealthyConnect checks eligibility and completes consent and enrollment. | The treating provider establishes the service and obtains patient agreement. | The treating clinician establishes medical necessity and the monitoring plan, with patient consent. | The treating practitioner establishes the therapeutic monitoring plan and applicable service requirements. |
Sources checked September 20, 2026: CMS ACCESS guidance ↗ · Medicare CCM coverage ↗ · CMS RPM guidance ↗ · CMS RTM service framework (PDF, 2022) ↗
Already offering CCM, RPM or RTM?
HealthyConnect reviews existing services during enrollment and identifies the appropriate care pathway, including any needed transition under applicable billing rules. Your organization can connect suitable patients without building a separate ACCESS operation.
See eligibility and enrollment ↗ · Choose your partnership path ↗
CONNECT YOUR PATIENTS WITH HealthyConnect
Keep your clinical relationship.
Let HealthyConnect handle its ACCESS care.
One-page setup request. No fee to become a HealthyConnect referral partner.