The ACCESS Model Is Here.
Partner With Sentinum
for 2027.
CMS's Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model pays technology-enabled organizations to deliver measurable chronic care outcomes for Medicare beneficiaries — with zero burden on ACO staff.
What is the CMS ACCESS Model?
The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model is a 10-year voluntary CMS Innovation Center model that pays Part B-enrolled technology organizations to manage chronic conditions for Medicare Fee-for-Service beneficiaries through outcome-aligned payments.
Critically, ACCESS is designed to work alongside ACOs — attributed Medicare beneficiaries can be concurrently enrolled in both MSSP or ACO REACH and the ACCESS Model. This means your ACO's population can benefit from structured chronic care coordination without any disruption to your existing program.
Four Chronic Condition Tracks
Sentinum Health is applying to participate across all four ACCESS Model clinical tracks, covering the most prevalent chronic conditions in the Medicare population.
Musculoskeletal
Chronic back, hip, knee, neck, and upper extremity pain
Behavioral Health
Depression and anxiety
Early Cardiometabolic
Hypertension, dyslipidemia, obesity, prediabetes
Advanced Cardiometabolic
Diabetes, chronic kidney disease (CKD), heart disease
Why ACOs Should Partner With Sentinum
The ACCESS Model creates a unique window for ACOs to extend structured chronic care coordination to their attributed population — at no cost, no risk, and no burden.
Zero Risk to Your Shared Savings
CMS is temporarily excluding ACCESS spending from ACO cost benchmarks for the first 18 months of the program. Partnering with Sentinum does not count against your shared savings calculation during the evidence phase — your ACO absorbs the benefit with none of the benchmark exposure.
18-month benchmark exclusion
CMS Pays Your Physicians
Referring and primary care physicians earn a CMS co-management payment — approximately $100 per enrolled beneficiary per year — for reviewing Sentinum's AI-generated clinical updates. We generate the updates automatically. Your physicians earn the fees for a brief documented review.
10,000 enrolled patients = ~$1,000,000/yr to your physician network — paid by CMS, not by you.
Reduced Utilization Across Your Population
Structured care management at scale reduces avoidable ED visits, preventable hospitalizations, and unnecessary imaging. For ACOs accountable for total cost of care, this is the margin that matters most.
Multiple peer-reviewed meta-analyses show structured care management reduces hospitalizations by 19–26% (McAlister et al., JACC · Defined et al., CMAJ · Huntley et al., BMJ Open)
Proactive care coordination catches deterioration early — before it becomes an avoidable admission.
Nothing Added to Your Team's Plate
Sentinum handles everything: patient engagement, outcomes measurement, clinical update generation, and CMS reporting. You refer eligible beneficiaries. We manage the rest — from enrollment through outcomes reconciliation.
Your team refers. Sentinum does the rest.
14 Major Health Plans Have Committed
Under the ACCESS Payer Pledge, 14 leading health plans — representing 165 million Americans — have committed to adopt outcomes-based payment structures aligned with the ACCESS Model by January 1, 2028.
When commercial payers adopt ACCESS-aligned payment structures, Sentinum's infrastructure scales across your full attributed population — Medicare, Medicare Advantage, Medicaid, and commercial — without rebuilding anything.
The AI Infrastructure Built for ACCESS
Delivering measurable chronic care outcomes at population scale requires infrastructure purpose-built for it — intelligent patient engagement, automated outcome measurement, AI-powered care coordination, and seamless clinical escalation. Sentinum built this infrastructure from the ground up. Today it powers our CCM, RPM, PCM, and RTM programs. In 2027, it powers ACCESS.
AI-First, Operational Today
Our virtual nurse and AI care coordination platform is live and managing patient engagement across CCM, RPM, and PCM programs today. This is not a roadmap promise — it is production infrastructure serving patients right now.
Proven Care Management Programs
We already operate CCM, PCM, TCM, RPM, and RTM — the clinical programs most directly analogous to ACCESS care coordination. We understand outcome measurement, patient engagement workflows, and CMS reporting requirements intimately.
Zero Burden by Design
Our platform was architected from day one to require zero administrative burden on clinical staff. That same principle extends to every ACO partnership — your care management team identifies eligible beneficiaries and we take it from there.
FHIR-Ready Infrastructure
ACCESS requires FHIR R4 API connectivity for eligibility verification, beneficiary alignment, claims data integration, and outcome reporting. We are building to CMS's published specifications — including the BCDA API — starting now.
From Referral to Outcomes
A simple four-step model — your ACO identifies the patients, Sentinum delivers the program.
ACO Identifies Eligible Beneficiaries
Your care management team identifies attributed Medicare FFS beneficiaries with qualifying chronic conditions across the four tracks — MSK, behavioral health, early cardiometabolic, and advanced CKM.
Sentinum provides eligibility guidance and screening criteria to streamline this process.
Sentinum Enrolls and Engages
Sentinum handles enrollment, beneficiary engagement, care coordination, PROM collection, and clinical update generation — entirely through AI-powered automation. Beneficiaries receive structured, proactive outreach throughout their care period.
All patient engagement, documentation, and CMS reporting are managed by Sentinum.
Physicians Earn Co-Management Fees
CMS pays co-management fees directly to your referring and primary care physicians — approximately $30 per review, up to three times per year — for reviewing Sentinum's AI-generated clinical updates. A brief documented review in the EHR is all that's required.
~$100 per enrolled patient per year flows directly to your physician network from CMS.
Outcomes Improve. Benchmark Is Protected.
Sentinum reports outcomes to CMS and manages the semi-annual reconciliation process. Your ACO benefits from reduced downstream utilization across the enrolled population — with no impact on your shared savings benchmark for the first 18 months.
Improved chronic care management = fewer avoidable admissions = better total cost of care for your ACO.
2027 Cohort Partnership Now Open
Sentinum Health is applying to become an ACCESS Model participant for the January 2027 cohort. We are actively building our ACO partner network now — ahead of program launch.
Sentinum's target ACCESS Model entry date. Our ACO partner network is finalized. Beneficiary enrollment begins.
First semi-annual outcomes reconciliation for January 2027 cohort. Performance data informs ongoing engagement strategy.
The ACCESS Payer Pledge target date. 14 major health plans adopt ACCESS-aligned payment structures across Medicare Advantage, Medicaid, and commercial lines.
ACCESS infrastructure extends beyond traditional Medicare. ACO partnerships deepen as claims data, outcome evidence, and multi-payer relationships compound over the 10-year model.
Are you an independent physician or IPA?
Your Medicare patients may be eligible for ACCESS. As a co-managing provider, you refer eligible beneficiaries and earn CMS co-management fees — approximately $100 per patient per year — for reviewing our AI-generated clinical updates. No program management required on your end.
Build Your 2027 ACCESS Partner
Network With Us
We're accepting ACO partnership inquiries now. Spots in our 2027 cohort partner network are limited. Let's explore whether your attributed population is a fit.
Sentinum Health · Applying for ACCESS Model participation · 2027 cohort