CMS ACCESS Model – Official Medicare Program
Extend your care team. Improve outcomes.
Partner with Pair Team to bring free, comprehensive chronic care management to your Medicare patients — covered by Original Medicare at $0 cost to them.
How It Works
A simple, four-step process to connect your patients with comprehensive chronic care support.
You refer a patient
Submit a referral through our simple form — or patients can self-refer mentioning your organization.
We verify & enroll
We handle Medicare eligibility verification, enrollment, and onboarding — zero admin burden for you.
Our team provides care
Our clinical team and AI health advocate Flora support patients 24/7 between their visits with you.
You stay informed & aligned
Receive care summaries within 10 days — plus shared savings and co-management opportunities through the ACCESS model.
What Your Patients Get
Between-visit chronic care support that improves outcomes and reduces burden on your practice.
24/7 AI Health Advocate
Flora provides instant answers, medication reminders, and symptom tracking — any time of day.
Dedicated Clinical Team
Nurse practitioners, RNs, and care coordinators for care planning and clinical escalation.
Connected Health Devices
Blood pressure cuffs, scales, and other devices shipped directly to the patient's home.
Chronic Condition Management
Comprehensive support across diabetes, heart disease, CKD, behavioral health, and MSK pain.
Social Needs Screening
We screen for food insecurity, housing, transportation — and coordinate with local resources.
$0 Out-of-Pocket Cost
Fully covered by Original Medicare (Parts A & B). No copays, no premiums, no surprise bills.
Meet Flora, Your Patients' AI Health Advocate
Flora provides instant, intelligent health support to your patients around the clock — answering questions, tracking symptoms, and coordinating with our clinical team when escalation is needed.
Why Pair Team?
We're built to be your trusted infrastructure partner for chronic care management — not a disruptor.
CMS ACCESS Model Participant
Official federal Medicare program — trusted, regulated, and outcome-driven.
AI-Powered Care Navigation
Our AI health advocate Flora reduces response times and scales 24/7 support efficiently.
Human-Centered Clinical Care
Real NPs and RNs make clinical decisions — not just a chatbot.
PCP-Respectful Model
We enhance, never replace, the primary care relationship. Patients keep seeing you.
Outcome-Focused Reporting
We track and report on CMS quality measures — A1c, BP control, depression scores, and more.
Built for Every Partner Type
Whether you're an ACO, a primary care practice, or a community organization — we have a partnership model for you.
ACOs & Health Systems
- We handle between-visit chronic care management your team can't staff internally
- Shared savings and co-management opportunities through the ACCESS model benefit your organization
- We manage all CMS reporting, baseline data collection, and OAR compliance
- Our care directly supports quality metrics you're already accountable for (A1c, BP, depression screening)
- Care summaries delivered within 10 days of enrollment — including baseline profile, care plan, and medication reconciliation
Become a Partner
Tell us about your organization and we'll set you up with a dedicated partner manager.