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ACCESS FOR ACOS

Extend continuous care across your practices.

Connect patients with HealthyConnect’s specialized care operation while their existing clinicians stay involved. Define where HealthyConnect complements your ACO’s care teams and how participating practices connect.

New to ACCESS? Medicare’s ACCESS model pays participating providers for technology-supported chronic care with payment tied to outcomes. HealthyConnect delivers care alongside patients’ existing clinicians.

One patient. Clear ownership across the care team.

Medicare pays HealthyConnect for ongoing care and eligible clinicians for qualifying reviews; the patient keeps existing providers

Your ACO

Define the population and the role HealthyConnect will play alongside existing care management. Agree practice participation, reporting needs and escalation responsibilities.

Your practices

Keep their clinical relationships, introduce appropriate patients and perform qualifying review and coordination through eligible billing entities.

HealthyConnect

Handle agreed eligibility checks, enrollment, ongoing care and patient support. Return relevant clinical updates to the treating teams.

Evaluate the population opportunity and the practice workflow.

Start with a defined care gap: patients who need support between visits and a clear connection back to their existing providers. Agree how HealthyConnect fits with services already in place.

Patient engagement

Review introductions, enrollment and reasons patients do not proceed.

Practice participation

Identify who receives updates and owns qualifying reviews at each practice.

Accountable follow-through

Agree reporting, clinical escalation contacts and a rollout HealthyConnect can support.

These are proposed operating measures to agree during setup. Clinical and financial outcomes are targets to evaluate, not promised shared savings.

Keep the two economic questions separate.

Practice review economics: eligible billing entities can earn payment for completed qualifying work. The shared illustration shows modeled time and revenue.

ACO performance: assess care impact, existing arrangements and the treatment of ACCESS payments separately. Review the current CMS explanation and assumptions with your team.

CMS sources and ACO payment context ↗

Move from interest to a defined deployment.

HealthyConnect and the ACO agree the initial population, participating practices, patient-introduction route, update destinations and available delivery capacity. Network deployment and integration are scoped separately from a standard referral setup.

Discuss your ACO deploymentRelated IPA / network materials ↗

Make the partnership visible to your ACO.

Agree the reporting scope before launch: patient introductions and enrollment, participating practices, delivery of care updates, open follow-up items and escalation ownership.

HealthyConnect and the ACO should define the reporting format, cadence and available data together. Review the patient and clinician workflows below to make that discussion concrete.