CMS ACCESS launches in July 2026, and most organizations don't yet know how to build programs that actually win under outcomes-aligned payment. This session brings together two practitioners who do: Sam Hiatt of Community Care of North Carolina, whose statewide medical home model has documented reductions in admissions and readmissions supporting over 1,300 independent practices, and Lisa Bari of Innovaccer, a technology partner with a track record in AI-enabled, outcomes-focused chronic care. Together they'll deliver a practical, evidence-based framework for ACCESS program design — what works, what doesn't, and what community-level implementation requires that health-system-centric approaches miss.

Key Takeaways

• A practical framework for CMS ACCESS program design drawn from two organizations with documented outcomes — what team configurations, technology requirements, and patient engagement approaches the evidence actually supports.
• An honest accounting of what works differently in community-based, independent practice settings versus integrated health systems, and what that means for how ACCESS programs should be structured.
• Clarity on the role of technology in outcomes-based chronic care — what has moved clinical results at scale, where implementation has fallen short, and what that means for ACCESS participants evaluating their infrastructure needs.