90 Days to
Unlocked Margins.
A non-invasive timeline to stabilize and secure ACCESS Model cash flow, without disrupting your clinical operations or requiring a single new IT hire.
The Stakes: The new CMS ACCESS Model introduces a 50% upfront revenue withhold for chronic care management. For a typical qualifying health system, that means $1,050,000 in monthly cash flow held in reserve, contingent entirely on your ability to demonstrate compliant, measurable outcomes.
A Proven Timeline.
Measurable Returns at Every Phase.
Phase 1
Days 1–30
Baseline Data Ingestion
We bypass custom IT backlogs entirely. Our non-invasive framework ingests and maps your critical chronic care measures, including HbA1c, eGFR, and uACR, within weeks, not quarters. No new infrastructure. No staff burden.
- Zero custom IT implementation required
- Chronic care measure mapping in weeks
- Works alongside your existing EHR
Saves $150K–$250K
in unbudgeted integration overhead
Phase 2
Days 31–60
Compliant Pipeline Activation
We open an automated, fully compliant data pipeline directly to federal endpoints, stabilizing your guaranteed monthly base cash flow and eliminating the compliance uncertainty that puts your revenue at risk.
- Automated federal endpoint connectivity
- Full CMS compliance alignment
- Revenue stabilization within 60 days
Secures $1,050,000
guaranteed monthly base cash flow
Phase 3
Days 61–90+
Withhold Recovery & Protection
Our real-time clinical monitoring tracks patient compliance shifts and triggers exception alerts before patients drift out of measure thresholds: unlocking your withheld margin and shielding your organization from ongoing penalties.
- Real-time clinical compliance monitoring
- Proactive exception alerting
- Continuous withhold recovery
Unlocks $1,050,000
withheld margin + ongoing penalty protection
"The Operational Reality: To protect your revenue and unlock your withheld margin, you do not need another clinical software vendor. You need a fast, non-invasive compliance and data-translation layer that works natively alongside your existing EHR infrastructure.
CIRCLES PopHealth · Executive Position
What Is at Stake for Your Organization.
| Revenue Category | Monthly Value | Risk Without CIRCLES | Status with CIRCLES |
|---|---|---|---|
| Guaranteed Base Cash Flow | $1,050,000 | At risk without compliant pipeline | Secured by Day 60 |
| Withheld Performance Margin | $1,050,000 | Forfeited without outcome proof | Unlocked by Day 90+ |
| Integration Overhead (avoided) | $150K–$250K | Unbudgeted IT spend | Eliminated entirely |
| Readmission Penalty Exposure | Variable | Ongoing, unmitigated | Monitored & shielded |
Enterprise Interoperability:
Zero IT Backlog.
Secure ACCESS Model compliance by connecting CIRCLES natively to your existing core clinical data structures via automated, secure FHIR pipelines.
Step 01
Ecosystem Ready
CIRCLES utilizes standard, secure OAuth 2.0 authentication protocols aligned with major enterprise health system frameworks. This allows your organization to bypass traditional software integration backlogs because zero custom code needs to be written by your internal IT team.
Step 02
Automated Data Mapping
Operating as a non-invasive translation layer, CIRCLES securely maps necessary clinical endpoints directly from your existing data architecture. This process completely eliminates manual double data entry and leaves frontline clinical workflows entirely undisturbed.
Step 03
Native Workflow Integration
Rather than forcing care managers onto an external software portal, CIRCLES routes risk-adjusted tracking and exception alerts back into your system's native clinical messaging and flowsheets. This unique approach empowers teams to stop clinical drift in real time.
HIPAA Compliant Architecture
Fully encrypted data pipelines protecting PHI both in transit and at rest.
HL7 / FHIR R4 Standardized
Native alignment with federal interoperability mandates for seamless federal portal transmission.
Enterprise ACCESS Strategy
Secure a Strategic ACCESS Roadmap.
Connect with CIRCLES PopHealth to establish an enterprise strategy for ACCESS Model compliance, governed care execution, and measurable operational readiness.
