50% of your ACCESS revenue is withheld. Getting it back depends on whether your patients responded.
Hana calls and texts your patients, collects the measures CMS needs, and sends the data over in the right format. That's how you hit the threshold and get your money back. Five dollars a patient, a month.
What is ACCESS?
ACCESS is a new CMS program that starts July 5. You get paid every month for each patient you enroll. But CMS keeps half of it for up to a year. You earn that half back only if enough of your patients complete their check-ins.
What CMS pays you per patient each month. Half now, half held back.
The 50% completion rate you have to hit to earn the held-back half.
Your real completion rate when CMS settles up. This is the number Hana moves.
The revenue cliff
You go from ~$216 a month to ~$35. And half of that is held back.
Today, a chronic-care patient on remote monitoring brings in about $216 a month. Under ACCESS, your best-paying track pays about $35. Then CMS holds back half of that for up to a year, and only pays it out once your patients respond.
What a chronic-care patient brings in today.
The top ACCESS rate. Most tracks pay $15 to $30 a month.
You only earn it back once your patients complete their check-ins.
Software, not staff
CMS set the rates this low on purpose
At $15 to $35 a patient, you can't pay a person to chase down follow-ups. The math only works if software does it. That's the whole idea behind the program.
Hana is how you get the held-back half. It runs the outreach for you, gets your completion rate over the line, and the money comes back.
When CMS settles up
One number decides how much you get back
It's the share of your patients who finished their check-ins. The higher it is, the more of the held-back money you keep.
Half or more of your patients finished their check-ins. CMS pays back the whole held-back amount.
Fall short of 50% and your payout drops to match. At 40%, you get 80% of the held-back money back.
Even in a bad year, you keep at least half of the held-back money. That's the floor.
Getting past 50% is the difference between all your money and a cut of it. Every patient who doesn't finish their check-ins counts against you.
Why voice-first
Most Medicare patients won't use the portal
And if they don't check in, it counts as a miss. So the way you reach them sets a ceiling on your score before you even start. The research is clear on this, and it points to one answer: pick up the phone.
In a Medicare study, sending portal reminders and waiting got just 45 to 52% of patients to respond. That's not enough to clear the threshold.
Add a phone call on top and response jumps to 75 to 85%. Same patients, same portal. The only thing that changed was someone calling them.
Even among older adults who have a portal, only about half had logged in that month. Many would rather just talk to someone on the phone.
Those numbers come from studies where people made the calls. Our own 85% is a goal we're working toward, not a promise. We'd rather show you why phone outreach works than throw a number at you.
What Hana does
Built specifically for the ACCESS operational problem
Calls and texts your patients
Hana reaches every patient at the right time, in plain conversation. If someone doesn't answer, it tries again.
Runs the check-ins
Depression, anxiety, and pain questionnaires, plus blood pressure and weight. Asked like a real conversation, not a form to fill out.
Flags what matters
If a patient says something concerning or a number looks off, your team hears about it right away. They see the exceptions, not every call.
Sends CMS the data
Every result goes to CMS in the exact format they want. You don't have to build or manage any of that.
Times it to count
CMS only accepts readings inside tight windows. Hana schedules each call so the data lands when it counts, not a day too early or too late.
Works with your EHR
Connects to Athena, Charm, and most major systems. Hana reads the chart before every call so nothing is asked twice.
The easy one to hand off
Every year, you have to get consent again
For each patient you keep, you have to ask them to re-up every twelve months. Miss the window and you can't bill that patient. It happens again next year, and the year after, for ten years.
You have a 60-day window to get the patient's consent again, confirm they still need the care, and take a fresh reading if the old one's gone stale. Miss it and you can't bill that patient that year. It's easy to forget, and the cost of forgetting is a whole year of payments.
It comes back every twelve months for every patient you keep. Not a one-off.
You have 60 days. Inside it you can bill. Outside it you can't.
Miss it and you lose a full year of payments for that patient.
It's consent, contact info, and a quick reading. No doctor needed.
What Hana does
Hana handles the whole thing with one call, on time.
It calls inside the window, gets the consent, confirms the details, takes a fresh reading if needed, and writes it all back to the chart with a timestamp. Your team only sees the few patients who didn't pick up, with time to spare.
Timing matters
A reading on the wrong day doesn't count
CMS only accepts data inside specific windows. A regular reminder app doesn't know that. Hana does, so every call lands when the reading actually counts toward your score.
Days to submit a reading
Blood pressure, weight, and check-ins only count if sent within 15 days. Hana calls so the reading is fresh when it goes in.
Days to get the first reading
You have 60 days to get a patient's first reading, or they drop out of the program. Hana makes sure it happens in time.
Years a lab result lasts
Lab results count for one to two years, so they're on a different clock. Hana tracks each one separately instead of nagging everyone at once.
Pricing
We win when you win.
You only pay the success fee when CMS pays you back the money they held for a year. It's the easiest check you'll write.
Base fee
- All the calls and texts
- Every check-in, all tracks
- Timed to count with CMS
- Data sent to CMS for you
- Alerts when something's off
Success fee
You only pay this when CMS pays you back. If the money doesn't come back, neither does our fee.
The math · CKM track, 1,000 patients
Hana brings back $210K for $81K. And if you fall short of the line, say 40%, you'd get just $168K instead, leaving $42K on the table.
ROI Calculator
Run the numbers for your cohort.
Adjust your patient count, track, and response rate. See exactly what's at stake.
CMS pays $35/patient/mo · Hana base fee $5/patient/mo
You get all of it back
At 55%, you're past the 50% line. CMS pays back the whole held-back amount.
By track
What Hana handles per track
CKM
Cardiometabolic & kidney health · $35/mo init, $17.50/mo follow-on · OAP $420 initial / $210 follow-on
Required measures
How Hana handles it
Hana calls and texts patients to keep blood pressure, weight, and lab results current, each one timed so it counts with CMS. One note for honesty: the official blood pressure reading has to come from an approved cuff that sends it in automatically, so Hana flags when a patient needs that set up. Everything goes to CMS in the format they require.
On the roadmap
What we're building next
These aren't live yet, and we won't pretend they are. Here's what's coming, and we're upfront about where it stops.
Care update drafts
Hana writes up the care update for you and gets the patient's okay to share it.
Where it stops
Your system still sends it. We write the draft, we don't move the data.
One call, two tracks
If a patient is in two programs, Hana covers both in a single call so they aren't bothered twice.
Where it stops
It makes the call simpler. It doesn't change what CMS pays.
Heads-up on outside care
If a patient mentions getting care elsewhere, Hana flags it early so your team can reach out.
Where it stops
It's a heads-up, not a fix. Patients are always free to go elsewhere.
None of this is live yet, and none of it changes what CMS pays. If another vendor tells you they can "fix" your numbers here, ask them to show you the rules.
FAQ
Questions we get on every call
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ACCESS Pricing & ROI Calculator
The numbers for each track, with your patient count filled in.