Nine New Value-Based Care Models Move CMS Closer To 2030 Accountable Care Goals

CMS’s new models accelerate a major, multi-year shift in reimbursement toward outcome-based accountability

CMS has accelerated its shift toward value-based care, with nine new payment models announced in late 2025. These new models aim to improve chronic disease care, lower drug costs, and expand accountability for hospital re-admissions, among other goals. Their financial incentives could spur greater use of products such as glucose monitors or wearables to manage chronic disease. CMS’s stated long-range goal is to have all traditional Medicare beneficiaries in accountable care relationships by 2030.

Slow Growth of Accountable Care Participation To Date

Source: CMS. Participation Continues To Grow In CMS’ Accountable Care Organization Initiatives In 2024.

One example: the new ACCESS model (Advancing Chronic Care with Effective, Scalable Solutions). ACCESS establishes a new way to pay for ongoing, technology-supported chronic care—such as glucose monitoring or wearables—with a provider incentive linked to positive patient outcomes. Participating organizations enroll Medicare beneficiaries with common chronic conditions and receive a monthly payment to help fund that continuous support. ACCESS uses “outcome-aligned payment” (OAP), where half of the payment is held-back and only released if enough patients hit those targets within a 12-month period.

ACCESS has four clinical pathways, with targets for improving common chronic conditions:

Table 1 Example of how a provider would be paid if caring for 1,000 diabetes patients and achieving the clinical goals over 12 months

Source: CMS. Advancing Chronic Care With Effective, Scalable Solutions (ACCESS) Model. 2026

Announced Payment Rates For ACCESS Clinical Tracks

¹ Medicare reimburses 80% of the total allowable rate, the remaining 20% comes from patient co-insurance

Source: CMS. Advancing Chronic Care With Effective, Scalable Solutions (ACCESS) Model. 2026

Summary Of New Models Announced At End Of 2025

Source: CMS. Advancing Chronic Care With Effective, Scalable Solutions (ACCESS) Model. 2026