A CMS Innovation Center Model · Beginning July 2026

Access means care. Care means outcomes. Outcomes mean everything.

The ACCESS program brings nurse-led, technology-supported care for chronic conditions to people on Original Medicare — at home, at no extra cost, and alongside the doctor you already trust.

Real nurses, simple home monitoring, and a care team that checks in between visits — so managing your health feels lighter. No out-of-pocket cost. Keep your own doctor.

Extend your reach beyond the exam room with an outcome-aligned partner that handles monitoring, engagement, and documentation — with no added burden on your team.

HIPAA-secure platform Works with your own doctor No out-of-pocket cost

What is ACCESS?

Advancing Chronic Care with Effective, Scalable Solutions.

ACCESS is a 10-year national model from the CMS Innovation Center (CMMI), testing a new, outcome-based way to care for the chronic conditions that affect most people on Medicare. Brilliant Care is a participating ACCESS Partner Organization.

01

Technology-supported

Connected home devices and an always-on care assistant keep your health numbers visible to your team between visits — not just once a year.

02

Outcome-aligned

Under the model's Outcome-Aligned Payments, success is measured by real improvement in your condition — care is built around results, not the number of services billed.

03

Built around your doctor

ACCESS adds a layer of support to the care you already get. It never replaces your relationship with your primary care provider.

One program · Two ways in

Whether you receive care or deliver it, ACCESS is built for you.

Pick your view above and we'll bring your side forward — or keep both in sight. Either way, the destination is the same: better health, lower cost.

For patients

Care that comes to you.

  • Keep the doctor you already trust — we work alongside them, not instead of them.
  • A nurse-led team that checks in between appointments, when it matters.
  • Simple home monitoring for blood pressure, glucose, weight, and more.
  • Carey, a friendly assistant you can text any time, day or night.
  • No out-of-pocket cost when you have Original Medicare.
See if you're eligible
For providers

Outcomes, without the overhead.

  • A vetted ACCESS Partner Organization ready to extend your panel's reach.
  • Remote monitoring, patient engagement, and documentation handled for you.
  • Outcome-aligned payments tied directly to clinical improvement.
  • Clean data flow into your EHR — Epic, athenahealth, and HL7/FHIR interfaces.
  • Transparent reporting and audit-ready HIPAA compliance throughout.
Partner with us

Who it helps

The conditions ACCESS is built to manage.

The model focuses on high-prevalence, high-impact chronic conditions — the ones most likely to affect daily life and long-term health.

High blood pressure
Type 2 diabetes
High cholesterol
Chronic joint & back pain
Anxiety
Depression

How it works

Four steps from where you are to where you want to be.

Use the patient / provider switch at the top to see the path from your side.

1

Enroll

A quick call confirms you're eligible under Original Medicare. No paperwork marathon.

2

Get set up

Easy-to-use monitoring devices arrive at your home, ready to go out of the box.

3

Stay connected

Your care team watches your numbers and checks in. Text Carey whenever you need to.

4

See results

Better control of your condition, fewer surprises, and a doctor who has the full picture.

1

Refer or co-enroll

Identify eligible patients in your panel — we handle eligibility and onboarding.

2

We equip the patient

Devices shipped, configured, and supported, with no setup load on your staff.

3

Continuous care

Monitoring, engagement, and clinical escalation run continuously between visits.

4

Outcomes & reporting

Results and documentation flow back into your EHR, audit-ready and outcome-aligned.

Meet Carey

A care companion that texts you back.

Carey is the friendly assistant inside the ACCESS program — sending gentle reminders, asking a few simple questions, and giving you a fast line to your nurse care team. In plain language, on your schedule, in your pocket.

AI-assisted · always human-supervised
C
CareyBrilliant Care · ACCESS
Good morning, Mrs. Reyes 🌤️ Have a moment to take your blood pressure today?
Just did — 128 over 80.
That's right in your target range. Nice work staying consistent this week.
My knee's been aching though.
Thanks for telling me — I'll flag this for Nurse Dana, and she'll reach out today.

Where both paths meet

The outcomes we measure together.

Patients and providers share one goal. These are the dimensions the ACCESS program tracks to prove care is working.

Lower blood pressure

Steadier readings, kept in range between visits.

Better glucose control

Improved A1c and day-to-day management.

Higher satisfaction

Patients who feel supported, seen, and heard.

Fewer readmissions

Catching issues early keeps people out of the hospital.

HIPAA-secure platform
CMS Innovation Center participant
Built for Original Medicare
INC 5000 honoree

Get started

Take the next step on your side of ACCESS.

Whether you're looking for support or looking to partner, it starts with a short conversation.

For patients & families

Wondering if ACCESS is right for you or a loved one? We'll check eligibility and walk you through it — no pressure, no cost to ask.

For providers & organizations

Explore partnering with Brilliant Care as your ACCESS delivery partner — extend your panel's reach with zero added burden.

Request a call back

Tell us a little about you and the right person on our team will reach out.

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