ACCESS Model aims to expand technology-supported chronic care in Original Medicare
CMS announced the ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model, a 10‑year test starting July 5, 2026, designed to use new payment approaches to expand technology-supported care for people with chronic conditions in Original Medicare.
Source: Cms ·
Medicare's chronic care payments are shifting toward rewarding providers who keep you out of the hospital using remote monitoring and digital tools—meaning the infrastructure to manage your conditions at home is about to expand significantly. If you're 50–60 and managing diabetes, heart disease, or COPD, this 10-year test starting July 2026 signals that technology-supported care will likely become standard in your Medicare years, potentially reducing hospitalizations and their impact on your out-of-pocket costs and quality of life. Worth checking with your current providers whether they're participating in ACCESS or planning to adopt these tools—it could shape which Medicare plan makes sense for you at 65.
- •ACCESS will test "outcome-aligned" payments in Original Medicare to encourage providers to offer technology-supported options like remote monitoring and digital tools for chronic disease prevention and management.[2]
- •The model will run for 10 years, signaling a long-term federal push to integrate virtual and tech-enabled services into standard Medicare chronic care.[2]
- •If successful, these approaches could improve management of conditions common after 50—such as heart disease, diabetes and COPD—while potentially reducing hospitalizations and costs.[2]
Mid-career adults should expect more virtual and tech-based chronic care options under Medicare in the future, which may improve health outcomes and reduce the hassle and cost of managing long-term conditions in retirement.