Be part of the largest national opportunity for community pharmacy
An NCPA® Program, Powered by CPESN®
in partnership with GamePlan Medical, a CMS ACCESS participant
Access to Pharmacy Care is designed to help community pharmacies get paid for providing patient care services—like medication management and chronic disease support—so pharmacists can play a larger, sustainable role in improving patient health beyond dispensing medications.
BACKGROUND
CMS ACCESS
ACCESS (Advanced Chronic Care with Effective Scalable Solutions) is a 10-year voluntary CMS pilot that pays providers to deliver technology-supported, outcomes-based chronic care management.
CARE TRACKS
Outcome metrics and payment model
CMS ACCESS is the largest service-based program ever available to pharmacists. Payment under the new model will be driven by improved health outcomes for original Medicare patients with chronic conditions as described in the four tracks below. It will also test whether technology can improve patient outcomes and lower costs.
01
eCKM
Early Cardio-Kidney Metabolic:
HTN, Obesity, Prediabetes, Dyslipidemia
Outcomes Measured:
Blood pressure, Weight, HbA1c, LDL-C
02
CKM
Cardio-Kidney Metabolic:
ASCVD, Diabetes, CKD
Outcomes Measured:
Blood pressure, Weight, HbA1c, LDL-C
If CKD or DM also need baseline, eGFR & uACR
03
MSK
Musculoskeletal:
Chronic Pain
Outcomes Measured:
Patient Reported Outcome Measures (PROM): Pain Intensity and Improvement Surveys
04
BH
Behavioral Health:
Depression, Anxiety
Outcomes Measured:
Patient Reported Outcome Measures (PROM): PHQ-9, GAD-7
OPERATIONAL CONTEXT
Medical direction for ACCESS to Pharmacy Care
Pharmacy services are coordinated by GamePlan Medical, serving as physician clinical director for pharmacies enrolled in ACCESS to Pharmacy Care.
Payment under the new model will be driven by improved health outcomes for Medicare patients with chronic conditions, including high blood pressure, diabetes, and depression.
NCPA and CPESN together will provide training and resources to support community pharmacy success in this outcomes-based CMS program.
BENEFITS
Why ACCESS to Pharmacy Care?
Simple
ACCESS to Pharmacy Care simplifies community pharmacy participation in the new CMS program for traditional Medicare.
Scalable
Be part of the largest national movement advancing pharmacy‑delivered care, designed to scale across communities.
Sustainable
Unlock new payment for chronic condition services.
For NCPA members and CPESN participants
FAQ
Your questions, answered