M13–16 · Suite 3 · CMS ACCESS Outcome Programme
ACCESS · 4 Tracks
774K aligned · OAT 62.4% · 4 tracks (eCKM/CKM/MSK/BH) · CMS-bound submission
M13–16 · Suite 3 · CMS ACCESS Programme · Live
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ACCESS · 4 Tracks
CMS-attributed beneficiary outcomes. Four tracks (eCKM, CKM, MSK, BH) with 12-month attainment windows.
Outcome Attainment Threshold (OAT) determines payment. CMS submission via FHIR endpoint.
Aligned Beneficiaries
774K
FY26-Q2 CMS roster
Composite OAT
62.4%
▲ +4.1 vs Q1 · target 60%
Last CMS Submission
2d
accepted · all 4 tracks
At-Risk Patients
42K
in outreach queue
Track summary 4 tracks · OAT-weighted Submission history →
Track 1 · M13
eCKM
68.2%
▲ +5.4 OAT
HTN, obesity, prediabetes, dyslipidemia · 412K aligned
Track 2 · M14
CKM
58.1%
▲ +2.8 OAT
CKD · DM-CKD · UACR + eGFR · 186K aligned
Track 3 · M15
MSK
54.6%
▲ +1.2 OAT
Chronic pain · PROMIS PROs · 82K aligned
Track 4 · M16
BH
66.8%
▲ +6.7 OAT
MDD · GAD · PTSD · WHODAS · 94K aligned
eCKM track · cohort detail 412K · 4 conditions · OAT 68.2%
↓
Hypertension · BP < 130/80 at 12-month
Attain71.4%
At risk14K
On track
⚖
Obesity · ≥5% body weight reduction at 12-month
Attain48.2%
At risk28K
In build
📉
Prediabetes · A1c reduction or maintenance < 6.5%
Attain74.8%
At risk12K
Built
💊
Dyslipidemia · LDL target attained or statin titrated
Attain82.1%
At risk2K
Built
CMS submission · last 4 quarters
FY26 · Q2
62.4%
Accepted
FY26 · Q1
58.3%
Accepted
FY25 · Q4
54.1%
Accepted
FY25 · Q3
49.8%
Accepted