CMS is expanding its ACCESS model to cover heart failure, COPD, substance use disorders and tobacco cessation, and widening the existing bone, joint and mobility track. The model already covered high blood pressure, diabetes, chronic musculoskeletal pain and depression. It launches in spring 2027 with 160 participating organizations, across a ten-year run.

ACCESS ties payment to measured improvement in patient health rather than to individual billed services. CMS says participating organizations may deliver care through virtual visits, remote monitoring, connected devices and wearables. The agency plans to add organizations as the program runs.

This is the reimbursement question a remote monitoring or software-as-a-device company keeps running into: a route inside original Medicare where a device that moves an outcome gets paid for moving it. The buyer is still the participating organization, not CMS, so the addressable list at launch is 160 contracts long.