The CMS ACCESS Model ties $10B in Medicare payments to verified outcomes. Access OiX makes sure every outcome — and every dollar — holds up.
Under ACCESS, revenue is earned only when an outcome is validated and a measure is on file — with no duplicative spend against it. The Outcome Integrity System validates all of it continuously, so revenue holds up against CMS instead of quietly leaking away.
Validates eligibility, track selection, and enrollment continuously against live CMS APIs. A single misaligned patient is 100% lost OAP from day one — caught here, not at year-end.
Automates baseline and follow-up submissions for every condition measure. A missing lab silently eliminates 50–100% of OAP for that patient — this closes the gap before it costs you.
Predicts outcome failure 30/60/90 days early with explainable drivers, then routes ranked interventions to your care team — turning a 45% attainment baseline into 65%.
Real-time BCDA claims monitoring detects duplicative and substitute services that trigger the −25% payment cliff — a structural gap most incumbent platforms were never architected to watch.
A CFO-grade revenue ledger reconciles every dollar earned, at-risk, and protected — segmented by integrity point and patient, with CMS-ready audit trails maintained throughout the performance year. Access OiX adds intelligence. Your teams keep control.
Access OiX sits beside your stack as a read-only intelligence layer — ingesting from your EHR and CMS, never writing back to clinical systems.
For a 50,000-life organization participating in ACCESS, the integrity gap is measured in millions per year.
Protected revenue per 50K-life organization, per year.
From a 45% baseline to 65% outcome attainment.
OAP-aligned: a success share, not a sunk cost.
Time for protected revenue to recoup the spend.
ACCESS economics begin the moment the model goes live. The integrity you build in the first 90 days defines the revenue you keep for the rest of the year.
We're onboarding a limited cohort of design partners before go-live. First operational workflows are active within 14 days.
OAP-aligned pricing · Read-only deployment · HIPAA-aligned from day one