Diabetes-related care
A patient with diabetes may qualify for the CKM track, with care and progress measured against the applicable requirements.
ACCESS · MULTIPLE CARE TRACKS
One patient may benefit from
more than one ACCESS care track.
A track groups related conditions into a defined care pathway with its own eligibility criteria and outcome measures. A patient with needs across different tracks may qualify for care in more than one.
Start with the patient’s needs.
HealthyConnect checks the patient’s qualifying conditions and the appropriate care pathways during enrollment. Multiple tracks can address different needs while keeping HealthyConnect’s ongoing care connected with the patient’s existing providers.
ILLUSTRATIVE PATIENT · ELIGIBILITY CONFIRMED INDIVIDUALLY
Two care needs. A connected care relationship.
HealthyConnect connects the care
One person’s needs inform the care plan. HealthyConnect coordinates its support and relevant updates with the existing clinical team.
Depression-related care
The same patient may also qualify for the behavioral health track, with its own clinical needs and outcome measures.
This example explains distinct care pathways; it does not establish eligibility or promise that every track is available in every HealthyConnect deployment.
What does this mean for review-payment planning?
Use average qualifying tracks across the enrolled population to estimate the opportunity. HealthyConnect’s planning illustration uses 1.5 tracks per patient. That is a population average—not half a care track for an individual patient.
FIRST-YEAR REVIEW AND ONBOARDING REVENUE
Same patients.
Different qualifying care needs.
| Average qualifying tracks | Illustrative revenue per patient | 1,000 enrolled patients |
|---|---|---|
| 1.0 | $100 | $100,000 |
| 1.5 · HealthyConnect planning assumption | $150 | $150,000 |
| 2.0 | $200 | $200,000 |
For example, a population with 500 patients in one qualifying track and 500 in two qualifying tracks averages 1.5 tracks per patient. This is an illustration, not a prediction of HealthyConnect’s patient mix.
Each qualifying track uses three completed reviews at the $30 national base amount plus $10 for qualifying initial onboarding. These figures describe clinician co-management revenue, separate from HealthyConnect’s ACCESS care payments. Actual eligibility, distinct qualifying work, completed services and applicable payment adjustments determine payments; diagnoses do not each automatically create a separate payable track.
See review time, labor and estimated hourly revenue ↗HealthyConnect handles the care pathway. Your team stays connected.
HealthyConnect identifies the appropriate track pathways, delivers its ACCESS care and shares relevant updates. Eligible clinicians who perform qualifying reviews document and bill their own co-management work.
Updated September 20, 2026. CMS ACCESS tracks and model requirements ↗ · CMS co-management billing guidance ↗ · Sources and payment details ↗